Relevant bibliographies by topics / Musculoskeletal Physiotherapy

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Musculoskeletal Physiotherapy'

Author: Grafiati
Published: 4 June 2021
Last updated: 10 February 2022

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Journal articles on the topic "Musculoskeletal Physiotherapy"

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Baxter, G. David. "Musculoskeletal physiotherapy." Physical Therapy Reviews 24, no. 1-2 (March 4, 2019): 1. http://dx.doi.org/10.1080/10833196.2019.1607198.

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Cottrell, Michelle A., and Trevor G. Russell. "Telehealth for musculoskeletal physiotherapy." Musculoskeletal Science and Practice 48 (August 2020): 102193. http://dx.doi.org/10.1016/j.msksp.2020.102193.

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Zusman, Max. "Mechanisms of Musculoskeletal Physiotherapy." Physical Therapy Reviews 9, no. 1 (March 2004): 39–49. http://dx.doi.org/10.1179/108331904225003973.

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Vielitz, Arne. "Teletherapie: eine zukunftsfähige Variante der Versorgung." MSK – Muskuloskelettale Physiotherapie 25, no. 01 (February 2021): 5. http://dx.doi.org/10.1055/a-1340-3420.

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Gray, Helen. "Key Issues in Musculoskeletal Physiotherapy." Physiotherapy 80, no. 5 (May 1994): 323. http://dx.doi.org/10.1016/s0031-9406(10)61081-4.

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Goats, G. C. "Key Issues in Musculoskeletal Physiotherapy." British Journal of Sports Medicine 29, no. 4 (December 1, 1995): 280. http://dx.doi.org/10.1136/bjsm.29.4.280.

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Holehouse, Kelly, Karen Oliver, Gillian Rawlinson, and Hazel Roddam. "Collaborative service delivery to address public health issues within a musculoskeletal setting: evaluation of the Healthy Mind, Healthy Body project." International Journal of Therapy and Rehabilitation 26, no. 11 (November 2, 2019): 1–15. http://dx.doi.org/10.12968/ijtr.2018.00196.

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Background/Aims There is a need for greater focus on public health and its impact on musculoskeletal conditions within healthcare delivery. Physiotherapists are well positioned to support this. Outpatient physiotherapy musculoskeletal services traditionally focus on rehabilitation and physical exercise, yet many service users require support to improve both their mental and physical health. This innovative service improvement aimed to embed integrated health promotion within musculoskeletal physiotherapy service delivery. Methods A physiotherapy-led multidisciplinary team introduced patients to other community-based support services to address wider health needs. Results Service evaluation demonstrated a high uptake of self-referral to community services, validating the potential benefit for musculoskeletal condition management. Positive patient feedback indicates that patients valued the service and were well-supported to engage with health improvement. Conclusions Musculoskeletal physiotherapy services need to consider the wider aspects of health, putting public health at the heart of musculoskeletal service delivery.
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French, Helen P., and Rose Galvin. "Physiotherapy managers’ views of musculoskeletal physiotherapy service provision in Ireland: a qualitative study." Primary Health Care Research & Development 19, no. 01 (August 14, 2017): 77–87. http://dx.doi.org/10.1017/s1463423617000469.

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Aim Integrated multidisciplinary primary healthcare is still in a relatively early stage of development in Ireland, with significant restructuring occurring in the past decade. Musculoskeletal physiotherapy services traditionally provided in acute hospital settings have been relocated into the primary care setting where the physiotherapist works as part of the multidisciplinary team. This study aimed to explore physiotherapy managers’ experiences of managing musculoskeletal physiotherapy services in primary care to gain an insight into the opportunities and challenges in service delivery, changing roles and ongoing professional development needs of staff. Participants Qualitative design using semi-structured interviews with primary care physiotherapy managers in the Republic of Ireland was employed. Results Five interviews took in a mix of rural and urban areas nationally. The relationship with the GP was an important one in musculoskeletal physiotherapy services in primary care. Physiotherapists were well skilled but opportunities for professional and career development were restricted. Methods of optimising resources in the face of staffing restrictions were identified. Whilst there were many examples of innovations in service delivery, various barriers negatively impacted on optimal service including resource constraints and national strategy. Conclusions A number of factors that impact on musculoskeletal service delivery in primary care from the perspective of physiotherapy managers were identified in this study. Future research should explore the views of other stakeholders to provide a more thorough understanding of the relevant issues affecting musculoskeletal physiotherapy service provision in primary care in Ireland.
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Salt, Emma. "Effectiveness of Musculoskeletal Emergency Physiotherapy Practitioners." Open Journal of Therapy and Rehabilitation 04, no. 03 (2016): 146–49. http://dx.doi.org/10.4236/ojtr.2016.43013.

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Sievers, K., T. Klaukka, and E. Saloheimo. "Is physiotherapy effective for musculoskeletal disorders?" Scandinavian Journal of Rheumatology 17, sup67 (January 1988): 90–92. http://dx.doi.org/10.3109/03009748809105308.

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Dissertations / Theses on the topic "Musculoskeletal Physiotherapy"

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Cruz, Eduardo José Brazete Carvalho. "Clinical reasoning in musculoskeletal physiotherapy in Portugal." Thesis, University of Brighton, 2010. https://research.brighton.ac.uk/en/studentTheses/5d5210fe-b5d1-4bc6-be38-aa29f91a1178.

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Clinical reasoning refers to the process in which practitioners, interacting with their patients, structure meaning, goals, and health management strategies based on clinical data, patient/client choices, and professional judgment and knowledge (Higgs & Jones, 2000, p. 11). Recent literature in physiotherapy and other allied health professions describes clinical reasoning as moving between cognitive and decision-making processes required to optimally diagnose and manage impairment and physical disabilities (hypothetic-deductive), and those required to understand and engage with patients' experience of disabilities and impairments (narrative reasoning). Clinical reasoning has been described as a universal process, common to all clinicians, in particular in the musculoskeletal area. However, clinical reasoning models emerged from research developed in specific and well-developed health care and professional cultures, such as Australia and United States, but there has been little discussion of their relevance and applicability to other cultural groups. Since research literature concerning physiotherapy in Portugal is almost non-existent, the aims of this study were twofold. The first aim was to explore clinical reasoning processes in a sample of Portuguese expert physiotherapists and secondly, to identify the current perspective of clinical reasoning held by educators and students, and how it is promoted in the undergraduate curriculum. The focus of the study was musculoskeletal physiotherapy. The research was influenced by the interpretative/constructivist paradigm of inquiry. The study consisted of three parts. In part one, the clinical reasoning approach of a sample of Portuguese expert therapists in musculoskeletal physiotherapy was investigated. The study focused on Portuguese clinicians' interaction with their patients in order to define and manage clinical problems. Data was collected through non-participant observation, semi-structured interviews, memos and field notes, and analysed thematically to identify and compare the practice and reasoning approach used. In part two, the generic aspects of undergraduate physiotherapy curricula in Portugal were analysed to provide a first insight of how educational programmes are organized and delivered in Portugal. Then, current musculoskeletal physiotherapy curricula in Portuguese entry-level physiotherapy programs were analysed by a questionnaire survey and documentary analysis. The specific aim was to capture the educational process and actions underlying current educational practice across undergraduate courses. In part three (Study 3 and 4), a sample of musculoskeletal lecturers and a sample of near graduate students were selected against criteria relating to the diversity of institutions that offer undergraduate physiotherapy courses (private versus public institutions) and length of time as a Physiotherapy education provider. Each course was examined from lecturer and student perspectives (through individual interviews and focus groups) to see what kind of clinical reasoning approach were most emphasised in relation to physiotherapy intervention in musculoskeletal conditions. Data were transcribed and subjected to thematic analysis. Findings showed some similar characteristics in the reasoning process of this group of Portuguese expert physiotherapists in the study when compared with other studies in the musculoskeletal physiotherapy field. However, findings also highlighted that Portuguese physiotherapists were more likely to use and value an instrumental approach to clinical practice. There was little evidence of patients sharing their perspectives about their problems or participating in clinical decisions made. An instrumental approach to reasoning and practice was also dominant in current Portuguese musculoskeletal programs as well in educators' and students' perspectives. The focus was on diagnostic and procedural strategies of reasoning with little emphasis on promoting student competences to involve patients in the decision making process. In this sense, the practice and reasoning of this sample could be seen as more instrumental than communicative. Perspectives on clinical reasoning differ between cultures and contexts of practice and this has implications for the quality of health care education and service delivery. This research has identified the current model of clinical reasoning in Portuguese Physiotherapy practice. The findings have significant implications for clinical practice in musculoskeletal physiotherapy, curriculum development, and wider education and health service policy.
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Sexton, Mary. "Patient-centredness : a conceptual framework for musculoskeletal physiotherapy." Thesis, University of Brighton, 2011. https://research.brighton.ac.uk/en/studentTheses/7b5f1fd2-cfdd-47ba-b05f-f5d4d12d96e1.

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Introduction The centrality of the patient to health care has been increasingly recognised both politically and professionally. Patient-centred care has become synonymous with high-quality care and a number of studies have reinforced patient's desire for, and the positive impact of the approach. Although the concept emerged over 30 years ago, it is still not clear what it is, upon what theories it is based, or how to measure it. Whilst the concept has been explored within medicine, nursing and other allied health professions, within physiotherapy there has only been minimal discussion. The aim of this research was to explore the meaning of patient-centred care in relation to low back pain, from the perspective of musculoskeletal physiotherapists. Methods Purposive sampling was initially used to select participants. Subsequently theoretical sampling was adopted whereby analysis of the data informed the sample selection. Nine musculoskeletal physiotherapists agreed to participate in the study. They ranged in experience from five to 25 years. Individual semi- structured interviews were adopted as the method of data collection. The interviews were audio taped and then transcribed verbatim. Analysis broadly followed the Grounded Theory approach outlined by Strauss and Corbin (1990). It consisted of a process of open, axial and selective coding. Constant comparative analysis resulted in the identification with a core category and three inter-related sub-categories and the development of a substantive theory of patient-centred care.
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Brooker, Heather. "Incidence of musculoskeletal injuries in professional dancers." Master's thesis, University of Cape Town, 2020. http://hdl.handle.net/11427/32453.

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Background: Professional ballet dancers focus on the high levels of discipline, perfection and mobility to achieve the fluid, controlled lines of movement presented on the stage. Dancers undergo long hours of strenuous, repetitive training which increases the risk of developing overuse or traumatic injuries and may compromise the longevity of dancers' careers. Relevant research, particularly in the South African context, is needed to provide recommendations on the intrinsic and extrinsic factors contributing to musculoskeletal injuries in professional ballet dancers. Aim: The aim of this study was to determine the incidence of musculoskeletal injuries and their associated risk factors over a three-month period in adult female professional ballet dancers in South Africa. Specific Objectives: The specific objectives of this study were: • To determine the incidence of traumatic and overuse injuries per 1000 dance hours over a three-month training and performance period in South African female professional ballet dancers; • To determine the relationships between a) Functional Lower Extremity Evaluation (FLEE) scores and injury incidence; b) intrinsic factors (amenorrhoea; body mass index; skinfold measurements; caloric intake) and injury incidence; and c) extrinsic factors (training hours; performance hours) and injury incidence respectively, in South African female professional ballet dancers. Methods: This study had a prospective, descriptive design. Eighteen female dancers were recruited from professional dance companies in the Gauteng, Western Cape and North West provinces of South Africa. Data were collected over a three-month period and included a subjective questionnaire, three-day food diary, skinfold measurements and the Functional Lower Extremity Evaluation (FLEE). Injuries were reported using an injury reporting form over the three-month period. Results: Participants had an average age of 22.1 ± 3.0 years. The dancers had an average BMI of 21.4 ± 2.1 kg.m⁻²; LBM of 41.7 ± 4.9 kg and body fat percentage of 24.7% ± 2.9%. Injury incidence was 3.3 injuries per 1000 dance hours with a total of 4605.58 hours reported overall. Of the 15 injuries reported, 13 occurred in the lower limb, with eight in the ankle and foot. Overuse injuries accounted for 93.3% of the total injuries, with only one traumatic injury reported. None of the descriptive characteristics was associated with increased injury risk. The average caloric intake of 1810.0 ± 503.7 calories, while lower than what is recommended for female athletes, also showed no significant relationship to injury. There were also no significant associations between pre-injury FLEE measurements and training loads; and injury incidence over the course of the study. Conclusion: An overall injury incidence of 3.3 injuries per 1000 dance hours was found in professional female ballet dancers in South Africa, which is higher than the injury incidences identified in previous studies in high-income countries. With regards to injury profile, overuse injuries are 86% more prevalent than traumatic injuries among this population type. We were unable to identify any intrinsic or extrinsic risk factors associated with injury incidence; however, we recognise the limitations of the small sample size in this study. With a high level of injury incidence and inconclusive results on injury risk factors, there is a clear need for significant further research in the field of injury prevention in professional ballet dancing. Further, this study identified a strong need for further research in South African dance companies to facilitate injury prevention and management in South Africa.
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Greybe, Rykie. "Risk factors for lower limb musculoskeletal injuries in novice runners: a prospective study." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/15523.

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The aim of this study was to identify the possible risk factors for the development of lower limb musculoskeletal injuries in novice runners. The specific objectives of this study were: (a) to describe the demographic and training characteristics of novice runners; (b) to establish the incidence of self-reported running-related injuries in novice runners; (c) to determine if specific intrinsic factors, namely age, gender, body mass index, quadriceps angle, foot alignment, hamstring flexibility, balance, muscle power and a history of previous injury were risk factors for lower limb musculoskeletal injuries in novice runners; and (d) to determine if specific extrinsic factors, namely training frequency, session duration, and intensity were risk factors for developing lower limb musculoskeletal injuries in novice runners.
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Madi, Mohammad Abdelfattah Atallah. "Investigating the impact of postgraduate musculoskeletal physiotherapy education on practitioners' clinical reasoning skills." Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8702/.

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Advancing clinical reasoning skills is one of the main outcomes of postgraduate master's level (M-level) programmes approved by the Musculoskeletal Association of Chartered Physiotherapists (MACP). While, the outcomes of these programmes were investigated in multiple retrospective studies, there is a limited understanding of the learning culture that drives change. Thus, the aim was to examine the learning culture of an MACP approved programme to capture the sociocultural mediators that advanced clinical reasoning skills. An empirical longitudinal mixed-methods theory-seeking case study was conducted over a period of 18 months. Participants included seven educators and six students. Data analysis was premised on the methods of a Constructivist Grounded Theory. Gradual and progressive advancement of clinical reasoning skills was identified. A model of a culture of convergence and synergy was constructed to conceptualise the relationship between students, the programme and the wider context. It demonstrates the value of convergence and synergy in supporting professional learning. This novel conceptual understanding of advancing clinical reasoning through M-level education suggest that pedagogues need to actively seek to create a culture convergence and synergy to achieving successful learning outcomes. The context-bounded knowledge provided in the thesis aid pedagogues to better design M-level curriculums.
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King, Valerie. "Irritable bowel syndrome : a case for musculoskeletal assessment." Thesis, Loughborough University, 1998. https://dspace.lboro.ac.uk/2134/10611.

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Abdominal pain of non-visceral origin has been recognised as a clinical entity for many years. In many gastroenterology clinics up to 50 per cent of patients attending have no pathological cause to their symptoms and such patients often become chronic attenders and suffer repeated investigation without resolution of their problem. They are often left with a label' of Irritable Bowel Syndrome (lBS) without a precise diagnosis being made. This is both unsatisfactory for the patient and physician. This study set out to determine the incidence of musculoskeletal causes of abdominal pain and to determine what diagnostic tools will help identify this group of patients and thus allow the physicians to refer the appropriate patients at an early stage. The aims were to identify questions that act as predictors of the presence of abdominal pain of musculoskeletal origin, patterns of pain presented in this group of patients and the ability of physiotherapists to detect cases of abdominal pain of musculoskeletal origin. The incidence of abdominal pain of musculoskeletal origin in this study was 14 per cent. Questions that act as predictors include an affirmative response to pain being aggravated by movements such as bending, twisting and turning, and coughing and sneezing, and a negative response to change in bowel habit, symptoms being aggravated by food and no weight change. The ability of the physiotherapist to detect cases was 88.3 per cent. No particular pattern of pain areas emerged to differentiate patients with abdominal pain of visceral and musculoskeletal causes. Early assessment of the musculoskeletal system by a trained physiotherapist is recommended. An early referral will lead to prompt and appropriate treatment and, consequently, to a reduction in costs for the NHS. For patients where the cause of their abdominal pain is not obvious it is unacceptable that they are left with the diagnosis of IBS without the musculoskeletal system being assessed. This study shows that such an assessment is vital to detect cases where the pain has a musculoskeletal origin.
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Alenezi, Majid. "Motor imagery as a potential tool for improvement of musculoskeletal function in physiotherapy practice." Thesis, Bangor University, 2018. https://research.bangor.ac.uk/portal/en/theses/motor-imagery-as-a-potential-tool-for-improvement-of-musculoskeletal-function-in-physiotherapy-practice(2daf1dd3-2404-45aa-9626-cb05013a012a).html.

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Motor imagery (MI) is a cognitive simulation technique with increasing importance in psychology, sport psychology and applied therapeutic domains (Dickstein & Deutsch, 2007; Guillot & Collet, 2008; Moran, Guillot, MacIntyre, & Collet, 2012). MI can be described as executing specific actions/tasks mentally, without any bodily movement, by adopting different sensory modalities (e.g. Collet & Guillot, 2010; Cumming & Ramsey, 2008; Jackson, Lafleur, Malouin, Richards, & Doyon, 2001). In the last two decades, a considerable amount of work has been performed to introduce MI as an effective rehabilitation tool for motor function, especially in the neurorehabilitation setting (Braun et al., 2006; Dickstein & Deutsch, 2007; Malouin & Richards, 2013; Mulder, 2007; Schuster, Butler, Andrews, Kischka, & Ettlin, 2012; Zimmermann-Schlatter et al., 2008). Despite the accumulating evidence supporting the benefits of cognitive techniques (e.g. MI) for patients with various neurological conditions, relatively little attention has been paid to the effects of imagery applications on the musculoskeletal system (Pelletier, Higgins, & Bourbonnais, 2015a, 2015b; Snodgrass et al., 2014). Consequently, the general objective of this thesis is to explore the potential role of MI as a therapeutic tool to be used as an alternative or adjunct to the traditional physiotherapeutic exercise for musculoskeletal parameters. The thesis is written as a collection of research studies committed to the objective described above. Chapter 1 represents a review of the literature exploring the potential role of imagery in musculoskeletal rehabilitation. Although the review chapter shows encouraging findings from the recent literature, it reveals the need to improve and develop the existing imagery intervention protocols for muscle strength outcomes to be used as a physiotherapeutic tool. Based on this need, our thesis comprises two experimental studies examining imagery’s efficacy on maximal force production in larger muscle groups, which is relevant in physiotherapy practice. In addition, this thesis builds on the potential expansion of research activities using imagery in Arabic countries by translating the vividness movement imagery questionnaire (VMIQ-2) to the Arabic language. Chapter 2 describes outcomes of a randomised control study examining the efficacy of cognitive imagery training on hip abductor strength in healthy individuals. In the study, two newly developed imagery protocols with specific imagery modalities, namely kinaesthetic with visual (KIN+VI) and kinesthetic only (KIN), were used and compared with a control group (no practice). The results demonstrated the efficacy of the imagery intervention for increasing strength in the hip abductor muscles and emphasised superior outcomes for the combined protocol (KIN+VI) for strength gains. In addition, the study revealed the efficacy of the KIN+VI imagery intervention for improving imagery ability (vividness). Chapter 3 reports the results of the second experimental study, which examines the efficacy of imagery practice (using the KIN+VI protocol from study 1) on the maximal isometric strength and electrical activity (EMG) of hip abductors (i.e. the efficacy of the ipsilateral training effect and bilateral transfer effects) compared with exercise in healthy individuals. In this study, the results showed a significant ipsilateral increase in strength and EMG amplitude in the trained hip abductor muscles of the imagery group (KIN+VI), while the exercise group did not show considerable gains. In addition, this chapter reports a novel finding concerning a bilateral transfer effect occurring after unilateral imagery training of the tested muscle group, with no strength gains occurring following exercise training. Finally, this study shows a clear indication that the home-imagery intervention protocol should be favoured over the home-exercise training due to the higher level of commitment in the imagery group; this illustrates the possibility of using imagery practice as a self-management intervention. Chapter 4 reports on the translation and validation of the VMIQ-2 to Arabic among Arabic native speakers living in the United Kingdom and Saudi Arabia. The chapter provides information about the translation process, cognitive debriefing test and initial reliability of the VMIQ-2 Arabic version. The study used an advanced analytical procedure to evaluate factorial validity by employing Bayesian structural equation modelling (BSEM) for each country’s dataset. The findings of this study provide initial support for the newly translated VMIQ-2-A with adequate psychometric properties; hence, it represents the first imagery ability questionnaire that has been translated into Arabic. Chapter 5 provides a summary of the thesis findings and clarifies the novelty of the current thesis. In addition, it outlines the future implications of the findings from the application and research perspectives. Furthermore, this chapter addresses the strengths and limitations of the thesis. Finally, it presents the conclusion of the current work.
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Theis, Nicola. "An examination of muscle and tendon properties in children with spastic cerebral palsy and their response to stretch : a theoretical basis for evidence-based clinical practice." Thesis, Brunel University, 2013. http://bura.brunel.ac.uk/handle/2438/8728.

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Cerebral palsy (CP) is a heterogeneous disorder in which movement and posture are affected. Increased excitation of the central nervous system leads to neural symptoms, which can cause spasticity and muscle weakness. These neural abnormalities result in secondary CP-related mechanical adaptations of muscles and tendons, which can lead to muscle contracture, joint deformities and pain. Therapeutic interventions are therefore essential to treat CP-induced abnormalities. Passive stretching in particular is a popular treatment method in clinical practice. However, due to a lack of scientific evidence, clinicians often have to make assumptions about the mechanical adaptability of muscles and tendons. Currently, the mechanical properties of muscles and tendons in children with CP and their adaptability are not well understood, which makes it difficult to implement evidence-based practice in clinical settings. Therefore, the overall purpose of this research was to examine the mechanical properties of the medial gastrocnemius muscle and Achilles tendon in children with spastic CP, and the adaptations of the muscle and tendon to acute and long-term passive stretching. The first experimental Chapter (3) was carried out in healthy adults, to assess the agreement between two methods of deriving Achilles tendon stiffness (i) active contraction of the triceps surae muscles to elongate the Achilles tendon, or (ii) passive rotation of the ankle joint. Taking into consideration the tendon’s viscoelastic response, the effects of strain-rate on Achilles tendon stiffness were also described. Results revealed that tendon stiffness measured using the “active method” was 6% greater than the “passive method”. There was also a significant increase in Achilles tendon stiffness in response to increased strain-rate. As the more commonly used active method is problematic to be used in children with CP, due to muscle weakness and excessive co-contraction, the passive method of deriving tendon stiffness was used in subsequent experimental studies. In experimental Chapter 4, differences in the mechanical properties of the Achilles tendon and triceps surae muscles between children with CP and their typically developing (TD) peers, were investigated. The results revealed that estimates of triceps surae muscle stiffness were significantly greater in children with CP compared to TD children. The results also showed that despite a smaller tendon cross-sectional area in children with CP, Achilles tendon stiffness was not different between groups. In addition, children with CP had a steeper tendon stiffness-strain-rate relationship compared to TD children. These results have significant clinical implications regarding the diagnosis of spasticity using the current clinical methods. Experimental Chapters 5 and 6 examined the muscle’s and tendon’s response to stretch. Passive stretching, implemented by a clinician or by the children themselves, is a commonly used intervention for children with CP with the aim of inducing structural alterations in muscles and tendons to improve function. In order for these alterations to take place, elongation of the muscle and fascicles would presumably need to occur with acute stretching. To date, this assumption has not been tested. Thus, the purpose of Chapter 5 was to investigate the medial gastrocnemius and muscle fascicle response to acute stretching, using two commonly used stretch techniques. Results of this study revealed that 100 s of stretching caused a transient increase in tendon (1.0 cm), muscle (0.8 cm) and fascicle lengths (0.6 cm). This effect was independent of stretch technique. These results provide evidence that the muscle and fascicles are capable of elongating in response to stretch in children with spastic CP. They provide a basis for the hypothesis that the spastic muscle may be able to adapt in response to long-term stretching. Thus, the purpose of the final experimental Chapter (6) was to assess the effects of a six week passive stretching intervention (four days per week, 15 minutes per day) on muscle and tendon properties, and gait parameters in children with CP. Results revealed there was a significant reduction in joint stiffness in the experimental group following six weeks of stretching. This was accompanied by a reduction in muscle stiffness, but with no alterations in Achilles tendon stiffness. Additionally, there were no positive effects of passive stretching on gait parameters. Together, the results of the present series of investigations demonstrates how fundamental knowledge of muscle and tendon mechanics in children with spastic CP, can be implemented to support evidence-based clinical practice.
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Yates, Christopher. "Effects of reconstruction surgery and individualised rehabilitation on neuromuscular, sensorimotor and musculoskeletal performance in patients with anterior cruciate ligament deficiency." Thesis, Queen Margaret University, 2016. https://eresearch.qmu.ac.uk/handle/20.500.12289/7421.

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Rehabilitation following Anterior Cruciate Ligament (ACL) Reconstruction (ACLR) benefits most patients electing ACLR surgery. Contemporary practice offers limited adaptation of the service to the needs of individual patients. This thesis focuses on a Randomised Control Trial (RCT) that evaluated the effects of a novel formulation of patient-centred musculoskeletal rehabilitation involving the Performance Profiling Technique (Butler and Hardy, 1992). Performance Profile Management (PPM), a programme of rehabilitation, was adapted to incorporate patient-physiotherapist negotiation and agreement on decisions for subsequent rehabilitation and treatment strategies. Therefore, the primary aim of the research was primarily to assess the efficacy of individually-tailored, self-managed rehabilitative care (PPM) in comparison to contemporary (CON) clinical practice. The latter would facilitate an understanding of patient needs and verify the circumstances in which rehabilitation might be enhanced by allowing individuals to play a key role in designing their treatment and recovery. A secondary clinical aim was to evaluate the strength of relationships amongst Patient-Based Outcome Measures (P-BOMs) and Clinician-Based Outcome Measures (C-BOMs). Currently, it is unknown which combination of outcome measures (P-BOMs or C-BOMs) delivers an optimum global assessment of functional and physical performance capabilities during patients’ post-surgical rehabilitation. A clinically-relevant and significant association amongst P-BOMs and C-BOMs might indicate correct scaling of patients’ own capability perceptions with those measured using objective assessment methods (C-BOMs) and endorse the utility for the clinical use of P-BOMs.
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Mudawarima, Tapfuma. "Burn injuries in Zimbabwe: development of guidelines for physiotherapy rehabilitation of musculoskeletal impairments and functional limitations." Doctoral thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33837.

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Background and need: Burn injuries are a major cause of hospital admission in low-income countries such as Zimbabwe and often lead to secondary complications such as disfigurements, contractures, and scar formations. The study aimed to establish “Guidelines for Rehabilitation of Musculoskeletal Impairments and Functional Limitations for Zimbabwe for Patients with Burns” based on the best evidence available. There were three good candidates for use as the source guideline, but ultimately, the Agency for Clinical Innovation (ACI) of New South Wales in Australia guidelines1 was chosen. The contextualisation of these guidelines for the Zimbabwean situation was informed by the outcomes of five sub-studies. A summary of the methodologies applied and the key results follow. Methods and Results: The Epidemiology of Burns in Zimbabwe: The characteristics of patients with burns in Zimbabwe was established through a retrospective record review (descriptive review) to characterise patients admitted with burns to the two central hospitals in Harare over fifteen months. The sample consisted of 926 admission records and 435 full patient folders were retrieved and analysed. Unfortunately, 425 full folders of children were missing and 85 folders of adults. There was a clear difference in presentation between children and adults, with children constituting over threequarters of all admissions, but with less severe injuries. Post-discharge follow-up: Access to rehabilitation and impact on Health-Related Quality of Life (HRQoL): The second study investigated the utilisation of post-discharge care, regarding referral after discharge and home programme. This was a study with a small sample, 14 adult and 23 child respondents. Despite referrals having been made to local rehabilitation departments, there was practically no further post-discharge contact with rehabilitation and only a single person received post-discharge rehabilitation. Both Health-Related Quality of Life (HRQoL) instruments used by the adult respondents indicated less impact on physical domains of functioning with the greatest impact in pain and emotional well-being. In the absence of trained counsellors, rehabilitation therapists might need to step into this role. Systematic review: The broad objective of this review was to systematically evaluate the effectiveness, safety and applicability to low-income countries of therapeutic exercises utilised by physiotherapists to improve function in patients with burns. The review, which included 19 papers, established that exercises (either resistance or aerobic), are effective and generally have a positive effect on muscle strength and aerobic capacity. However, there was a risk of bias in many of the papers and the evidence is not of high quality. As most of the research enrolled paediatric patients older than seven years and no adverse effects were reported, it can be concluded that resistance exercise is safe for this group of patients. However, as most children admitted with burns are younger than seven years, exercise needs to be carefully monitored in this group as safety and efficacy have not been proven for younger children. iii The results from this support the use of aerobic and resistance as an important component of a burn rehabilitation program as they have shown to improve muscle strength aerobic capacity and functional status even after hospital discharge, especially in patients with severe burns. Documentation of the current rehabilitation practice: This phase documented clinical interventions used to treat musculoskeletal problems by observation of seven rehabilitation workers (not only physiotherapists), based in the five central hospitals, one provincial and one district hospital. The treatments of five adults and five paediatric patients were observed at each hospital, a total of 70 treatments in all. The most significant finding was that the management of patients with burns was offered by a single rehabilitation worker a Physiotherapists (PT), Occupational Therapists (OT) or Rehabilitation Technician (RT), working in Burns' Units without any specialised training or additional courses. The management of burns across all hospitals was similar, and information saturation was reached with the planned number of observations. Passive and active movements were used almost universally, and the patients received a ward programme, which included positioning. Sitting and standing were included in some patients and patients were monitored for any adverse effects. A major weakness observed was the lack of baseline assessment or treatment progress during treatment. No compression bandages were applied and no scar tissue massage was done. Identification and adaptation of the suitable guidelines: Following a literature search and examination of different guidelines by two independent reviewers, the Agency for Clinical Innovation of New South Wales, Australia1 was chosen as a candidate for amendment. The guidelines were amended based on the results of the previous studies and subjected to a Delphi process with four to six Zimbabwean rehabilitation therapists who were experienced in the field of burn management. A credible set of guidelines for Zimbabwe for the rehabilitation of musculoskeletal impairments and functional limitations was thus produced. Conclusion: The current study adds to the body of knowledge through the development of guidelines for the physiotherapy rehabilitation of musculoskeletal impairments and functional limitations for patients with burns in low- and middle-income countries. The thesis has provided an evidence-based framework for patients, rehabilitation workers and policymakers to inform the provision of effective management of patients with burns. The Zimbabwe Guidelines should be regarded as a first attempt rather than the final version and hopefully will be subjected to further review as they are tried out in practice.
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Books on the topic "Musculoskeletal Physiotherapy"

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Kelly, Snyder Teresa E., ed. Differential diagnosis in physical therapy: Musculoskeletal and systemic conditions. Philadelphia: Saunders, 1990.

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Textbook of disorders and injuries of the musculoskeletal system. 3rd ed. Baltimore: Williams & Wilkins, 1999.

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S, Fuller Kenda, and Boissonnault William G, eds. Pathology: Implications for the physical therapist. 2nd ed. Philadelphia: Saunders, 2003.

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S, Fuller Kenda, ed. Pathology: Implications for the physical therapist. 3rd ed. St. Louis, Mo: Saunders, 2009.

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Goodman, Catherine Cavallaro. Pathology: Implications for the physical therapist. Philadelphia: Saunders, 1998.

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Salter, Robert Bruce. Textbook of disorders and injuries of the musculoskeletal system: An introduction to orthopaedics, fractures, and joint injuries, rheumatology, metabolic bone disease, and rehabilitation. 3rd ed. Baltimore: Williams & Wilkins, 1999.

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M, Kessler Randolph, ed. Management of common musculoskeletal disorders: Physical therapy principles and methods. 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2006.

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M, Kessler Randolph, ed. Management of common musculoskeletal disorders: Physical therapy principles and methods. 2nd ed. Philadelphia: Lippincott, 1990.

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M, Kessler Randolph, ed. Management of common musculoskeletal disorders: Physical therapy principles and methods. 3rd ed. Philadelphia: J.B. Lippincott, 1996.

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Hertling, Darlene. Management of common musculoskeletal disorders: Physical therapy principles and methods. 2nd ed. Philadelphia: Lippincott, 1990.

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Book chapters on the topic "Musculoskeletal Physiotherapy"

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Wood, Richard. "The role of physiotherapy for musculoskeletal disorders in primary care." In An Orthopaedics Guide for Today's GP, 159–74. Boca Raton : CRC Press, [2017]: CRC Press, 2017. http://dx.doi.org/10.1201/9781315384030-12.

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Gaskell, Lynne. "Musculoskeletal assessment." In Tidy's Physiotherapy, 207–51. Elsevier, 2013. http://dx.doi.org/10.1016/b978-0-7020-4344-4.00011-0.

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Udaykumar, Padmaja. "Musculoskeletal System." In Pharmacology for Physiotherapy, 51. Jaypee Brothers Medical Publishers (P) Ltd., 2011. http://dx.doi.org/10.5005/jp/books/11465_3.

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Udaykumar, Padmaja. "Musculoskeletal System." In Textbook of Pharmacology for Physiotherapy, 87. Jaypee Brothers Medical Publishers (P) Ltd., 2004. http://dx.doi.org/10.5005/jp/books/10942_3.

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Multani, Narinder, and Satish Verma. "Musculoskeletal Disorders in Elderly." In Principles of Geriatric Physiotherapy, 87. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10676_7.

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Harrison, Dr Mark. "Musculoskeletal system." In Revision Notes for MCEM Part A, 411–14. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199583836.003.0045.

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8.1 Nonpharmacological measures, 412 8.2 Nonsteroidal anti-inflammatory drugs (NSAIDs), 412 8.3 Corticosteroids, 414 8.4 Drugs used in gout and hyperuricaemia, 414 • Management of musculoskeletal injuries and diseases involves more than just pharmacological intervention. • Consideration of splinting, physiotherapy, and early mobilization can be the most effective way to ease pain and improve long-term outcome....
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Udaykumar, Padmaja. "Drugs Acting on Musculoskeletal System." In Pharmacology for Physiotherapy Students, 54. Jaypee Brothers Medical Publishers (P) Ltd., 2017. http://dx.doi.org/10.5005/jp/books/13105_4.

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Arvind, R. "Chapter-17 Examination of Musculoskeletal System." In Principles of Geriatric Physiotherapy, 319–34. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10676_17.

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Arvind, R. "Chapter-18 Symptoms of Musculoskeletal System." In Principles of Geriatric Physiotherapy, 335–41. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10676_18.

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Schoo, Adrian, Nick Taylor, Ken Niere, and James Selfe. "Case studies in a musculoskeletal out-patients setting." In Clinical Case Studies in Physiotherapy, 215–301. Elsevier, 2009. http://dx.doi.org/10.1016/b978-0-443-06916-1.00008-6.

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Conference papers on the topic "Musculoskeletal Physiotherapy"

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Fennelly, O., C. Blake, O. Fitzgerald, R. Breen, A. Brennan, J. Ashton, and C. Cunningham. "THU0767-HPR Advanced practice musculoskeletal physiotherapy services: a national evaluation." In Annual European Congress of Rheumatology, 14–17 June, 2017. BMJ Publishing Group Ltd and European League Against Rheumatism, 2017. http://dx.doi.org/10.1136/annrheumdis-2017-eular.4300.

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Prabowo, Eko, and Suci Wahyu Ismiyasa. "The Relationship Between Smartphone Use and Musculoskeletal Symptoms of Physiotherapy Students During Covid-19 Pandemic." In International Conference of Health Development. Covid-19 and the Role of Healthcare Workers in the Industrial Era (ICHD 2020). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/ahsr.k.201125.023.

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Novotny, Adam, and Manish Paliwal. "Patellofemoral Pain Syndrome: Sensitivity Analysis of Muscle Parameters for Expedited Recovery Utilizing an OpenSim Model for Lower Extremities." In ASME 2018 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/imece2018-87042.

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Patellofemoral pain syndrome (PFPS) is a musculoskeletal condition characterized by anterior knee pain. The symptoms associated with PFPS can be further aggravated through activities that increase patellofemoral compressive forces. Despite the number of mechanisms that are considered to contribute to this disorder, there is no consensus about its etiology, causing difficulty in prescribing the appropriate treatment or physical therapy. To properly evaluate PFPS, the influences of various muscles and their geometries on knee joint reaction forces for a human subject during a normal gait cycle were observed by conducting parametric analysis using OpenSim. The muscles that were seen to be most critical and have a potential effect in reducing the pain experienced at the knee joint are the soleus, iliopsoas, and gastrocnemius muscles. It was observed that individually increasing the length of the soleus and iliopsoas muscles from 75% to 125% of their default lengths resulted in decrease in knee joint reaction forces of up to 400 N (57%) in the x-direction and 600 N (40%) in the y-direction for the soleus and 550 N (38%) in the x-direction and 1000 N (29%) in the y-direction for the iliopsoas. It was also seen that by indirectly reducing the cross-sectional area of the gastrocnemius muscles from 125% to 75% of their default value resulted in decreases in knee joint reaction forces of up to 250 N (50%) in the x-direction and 500 N (42%) in the y-direction. Therefore, exercises should be advised to specifically stretch or strengthen the soleus and iliopsoas, and the gastrocnemius muscles should be rested. Pain and recovery time may be substantially reduced with the utilization of a targeted physiotherapy treatment plan. It can be coupled with longterm physiotherapy program for improving muscle fitness.
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Reports on the topic "Musculoskeletal Physiotherapy"

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Moving Forward - Physiotherapy for musculoskeletal health and wellbeing. National Institute for Health Research, July 2018. http://dx.doi.org/10.3310/themedreview-02995.

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