Academic literature on the topic 'Theses – Physical therapy'
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Journal articles on the topic "Theses – Physical therapy"
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Submission, Haworth Continuing Features. "ABSTRACTS OF THESES." Physical & Occupational Therapy In Pediatrics 13, no. 4 (April 14, 1994): 111–12. http://dx.doi.org/10.1300/j006v13n04_07.
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Features Submission, Haworth Continuing. "ABSTRACTS OF THESES." Physical & Occupational Therapy In Pediatrics 13, no. 4 (January 1994): 111–12. http://dx.doi.org/10.1080/j006v13n04_07.
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Submission, Haworth Continuing Features. "Abstracts of Theses and Dissertations." Physical & Occupational Therapy In Pediatrics 8, no. 1 (October 29, 1988): 91–105. http://dx.doi.org/10.1300/j006v08n01_07.
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Submission, Haworth Continuing Features. "ABSTRACTS OF THESES AND DISSERTATIONS." Physical & Occupational Therapy In Pediatrics 8, no. 2 (December 29, 1988): 111–14. http://dx.doi.org/10.1300/j006v08n02_08.
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Submission, Haworth Editorial. "ABSTRACTS OF THESES AND DISSERTATIONS." Physical & Occupational Therapy In Pediatrics 9, no. 2 (December 30, 1989): 133–39. http://dx.doi.org/10.1300/j006v09n02_09.
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Submission, Haworth Editorial. "ABSTRACTS OF THESES AND DISSERTATIONS." Physical & Occupational Therapy In Pediatrics 9, no. 3 (January 3, 1989): 143–46. http://dx.doi.org/10.1300/j006v09n03_09.
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Submission, Haworth Continuing Features. "ABSTRACTS OF THESES AND DISSERTATIONS." Physical & Occupational Therapy In Pediatrics 10, no. 1 (April 4, 1990): 101–2. http://dx.doi.org/10.1300/j006v10n01_09.
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Submission, Haworth Continuing Features. "ABSTRACTS OF THESES AND DISSERTATIONS." Physical & Occupational Therapy In Pediatrics 10, no. 3 (December 3, 1990): 109–14. http://dx.doi.org/10.1300/j006v10n03_07.
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Submission, Haworth Continuing Features. "ABSTRACTS OF THESES AND DISSERTATIONS." Physical & Occupational Therapy In Pediatrics 10, no. 4 (February 27, 1991): 133–35. http://dx.doi.org/10.1300/j006v10n04_07.
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Features Submission, Haworth Continuing. "Abstracts of Theses and Dissertations." Physical & Occupational Therapy In Pediatrics 8, no. 1 (January 1988): 91–105. http://dx.doi.org/10.1080/j006v08n01_07.
Full textDissertations / Theses on the topic "Theses – Physical therapy"
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Lakatoo, Neela M. "Older adults' satisfaction with physical therapists' communication and physical therapy treatment." unrestricted, 2006. http://etd.gsu.edu/theses/available/etd-12012006-112502/.
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Thesis (M.A.)--Georgia State University, 2006.Title from title screen. Leslie Taylor, committee chair; Elizabeth Burgess, Frank Whittington, Jaye Atkinson, committee members. Electronic text (75 p. : ill. (some col.)) : digital, PDF file. Description based on contents viewed July 30, 2007. Includes bibliographical references (p. 62-66).
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Gill, Elizabeth C. M. S., Suzanne Ph D. Phelan, Marni Ph D. Goldenberg, and Heather Ph D. Starnes. "Outdoor Adventure Therapy to Increase Physical Activity in Young Adult Cancer Survivors." DigitalCommons@CalPoly, 2015. https://digitalcommons.calpoly.edu/theses/1354.
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Physical activity (PA) has numerous benefits for cancer survivors, but limited research exists on PA interventions in young adult cancer survivors. Outdoor adventure therapy is a potential method of increasing PA in this demographic. The primary purpose of this non-randomized parallel group study was to determine whether the outdoor adventure camp experience (vs. wait list control) would increase participants’ PA levels immediately following the 7-day camp, as well as three months later. Secondary aims examined correlates of greater PA, including pre-post camp changes in sedentary behavior, exercise self-efficacy, environmental change self-efficacy, perceived barriers to exercise, physical activity enjoyment, and physical activity variety. Sixty-six control and 50 intervention participants were given validated quantitative questionnaires at baseline, 1 week (end of camp) and at the 3-month follow-up. Repeated measures multivariate analysis of variance (RMANOVA) was used to compare group changes over time. Using intent to treat analysis, adjusting for age, gender, age at diagnosis, and baseline minutes of PA per week, there was a significant difference (p=.0001) in minutes of PA per week between groups at both 1 week and 3 months. Bonferroni adjusted post-hoc analysis indicated that, relative to baseline, the intervention group had significantly (p=.0001) greater increases in PA at both 1 week (577 minutes vs. 9 minute increases) and 3 month follow-ups (133 minute increases vs. 75 minute decreases; p=.001) respectively. Significant intervention-related improvements were also observed in TV viewing hours/week (p=.001), hours sitting/week (p=.001), “Excuses” score of the Perceived Barriers to PA questionnaire (p=.04), Enjoyment of Structured Activities (p=.04), and PA Variety (p=.0001) at 1 week but not at the 3 month follow-up. No significant effects were observed for changes in exercise self-efficacy, environmental change self-efficacy, or the other subscales scores. In conclusion, outdoor adventure therapy has the potential to increase PA levels in cancer survivors both immediately following camp, as well as long-term. However, effects tend to wane after camp termination. Future research should explore the relationship between correlates of PA and PA levels in outdoor adventure therapy camp participants and methods to promote sustained PA after camp termination.
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Lopes, Justin. "A comparison of physiotherapy and RICE self treatment advice for early management of ankle sprains a thesis submitted to the Auckland University of Technology in partial fulfilment of the requirements for the degree of Master of Health Science, 2007." Click here to access this resource online, 2007. http://repositoryaut.lconz.ac.nz/theses/1374/.
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Thesis (MHSc--Health Science) -- AUT University, 2007.Primary supervisor: Dr Wayne Hing. Includes bibliographical references. Also held in print (xi, 187 leaves : ill. ; 30 cm.) in North Shore Campus Theses Collection (T 615.82 LOP)
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Bugden, Gena. "Athletic therapy : a rewarding profession /." Internet access available to MUN users only, 2002. http://collections.mun.ca/u?/theses,173913.
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Fittz, Ashley August. "BUILDING A BRIDGE BETWEEN PHYSICAL THERAPISTS AND FITNESS PROFESSIONALS: THE DEVELOPMENT OF A BUSINESS PLAN FOR SAN LUIS SPORTS THERAPY CLINICS." DigitalCommons@CalPoly, 2010. https://digitalcommons.calpoly.edu/theses/242.
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The purpose of this project was to create a business plan for a profitable, self-sustaining, program to build a bridge between physical therapists and fitness professionals.
The Quick Fit Program was a new service for the existing business San Luis Sports Therapy. The program was designed to be implemented within each of the company’s physical therapy clinics in California using existing personnel and resources. The Quick Fit Program is one way in which physical therapy practices can diversify the services they offer to keep pace with the changing landscape of healthcare.
Clients in the Quick Fit Program would receive an assessment of basic health and fitness during their initial visit. After the assessments, a licensed physical therapist debriefs each client and offers recommendations or referral to a physician or gym program as appropriate. Staff in the Quick Fit Program would also schedule a follow-up appointment three to six months from the date of the initial visit to assess any changes or improvements in health and fitness measures since the initial visit.
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DeLia, Donna. "Promoting self-control and increased engagement in physical therapy tasks in individuals with acquired brain injury /." Available to subscribers only, 2006. http://proquest.umi.com/pqdweb?did=1136087481&sid=16&Fmt=2&clientId=1509&RQT=309&VName=PQD.
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Andrews, A. Williams. "Cognitive, Collegiate, and Demographic Predictors of Success in Graduate Physical Therapy Education." NCSU, 2004. http://www.lib.ncsu.edu/theses/available/etd-11022004-164736/.
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Success in healthcare education, as defined by timely completion of the academic program, has consequences for individual students, academic institutions, and society. One purpose of this study was to quantify attrition in the physical therapy program at Elon University. The attrition rate in the physical therapy program at Elon University for students admitted between 1998 and 2002 (n = 198) was 10%, including those whose graduation was either delayed or denied. Most causes of attrition were for academic difficulties. This attrition rate is higher than the attrition rate in other physical therapy programs but it is lower than the attrition rates for most nursing and medical programs. The primary purpose of this research was to identify cognitive, collegiate, and demographic predictors of attrition in physical therapy education for students at Elon University. Predictors were chosen based on Tinto?s model of doctoral persistence. Cognitive predictors addressed in this study were undergraduate GPA, Math GRE, and Verbal GRE. The collegiate predictor chosen was undergraduate institution quality as denoted by average SAT score for entering students at the undergraduate institution. Demographic predictors studied included age, race, and gender. The model including all of these predictors was not significant in predicting attrition. However, once those who experienced attrition for personal reasons were deleted from the data set, the model was able to significantly predict attrition (likelihood ratio = 15.876; p = 0.044). Two of the predictor variables, undergraduate GPA (odds ratio = 0.040) and average SAT score for the undergraduate institution (odds ratio = 0.990), were independent, significant predictors of attrition. The admissions committee in the physical therapy program at Elon University should continue to emphasize the cognitive predictors when making admissions decisions. In addition, admissions committee members should begin to consider of the quality of the applicant?s alma mater. These results need to be replicated in other physical therapy programs before the results of this study can be generalized more broadly.
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Armstrong, Bridget Sarah. "Head and neck position sense in whiplash patients and healthy individuals and the effect of the "chin tuck" action this thesis is submitted to the Auckland University of Technology for the degree of Master of Health Science, February 2003." Full thesis. Abstract, 2003. http://puka2.aut.ac.nz/ait/theses/ArmstrongB.pdf.
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Kimel, Janna C. "A motivational tool that utilizes the psychological, social and physical factors that provide and prevent motivation to create an assistive, in-home tool for use between office sessions while undergoing physical therapy." Thesis, Available online, Georgia Institute of Technology, 2005, 2005. http://etd.gatech.edu/theses/available/etd-04172005-122239/unrestricted/kimel%5Fjanna%5Fc%5F200505%5Fmast.pdf.
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Thesis (M. S.)--Industrial Design, Georgia Institute of Technology, 2005.Gromala, Diane, Committee Member ; Ringholz, David, Committee Member ; Chung, Wayne, Committee Chair. Includes bibliographical references.
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Bowman, Winifred Edna. "The evaluation of an accreditation programme for quality improvement in private physiotherapy practice in South Africa." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52525.
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Thesis (PhD)--University of Stellenbosch, 2001.ENGLISH ABSTRACT: "Quality" has different meanings to different people. Even quality experts do not agree on a single definition: Juran's definition of quality revolves around his concept of "fitness for use", Crosby defines quality in terms of performance that produces "zero defects" and Deming defines quality as a "never ending cycle of continuous improvement". One element, however, that is common to all three approaches is that management must accept and demonstrate leadership if quality is to be achieved. Quality is rarely thought of as others perceive it. What is apparent is that if providers of care wish to maintain leadership in defining quality, they need to - Actively participate in the public debate about quality. Review the way in which they have been defining quality. Question whether their definitions are aligned with what the purchasers of health care define as being important. Develop meaningful measures of quality and data collection systems that will allow them to demonstrate quality and value. - Willingly share data not only on outcomes, and also measures that are specific to individual procedures and service providers. The PhysioFocus practice accreditation programme attempted to achieve the above factors. By realising the goal of the research this was determined. The goal of the research was to evaluate the PhysioFocus practice accreditation programme and to make recommendations on the educational programme for accreditation in private physiotherapy practices. This goal was realised by means of an exploratory and descriptive research design with a qualitative orientation. The evaluation of the PhysioFocus practice accreditation programme was performed by means of a validated evaluation instrument. The group interview revealed components of the PhysioFocus practice accreditation programme that require remediation. Recommendations included professional-ethical issues, business management and legislative issues. The recommendations will be implemented by the PhysioFocus practice accreditation committee. The PhysioFocus practice accreditation learning programme was evaluated by means of a semi-structured questionnaire, containing eleven questions and a section for comments. The general consensus was that the PhysioFocus practice accreditation programme is essential in private physiotherapy practice in South Africa. The implementation of the PhysioFocus practice accreditation programme resulted in the facilitation of quality physiotherapy; professional and personal development; monitoring of quality improvement processes; and the evaluation and remediation of these processes. This supported the central theoretical assumption of the research. Concerns were voiced about the lack of standards, lack of quality improvement skills, the public image of the physiotherapy profession and the lack of basic business management training. The researcher concluded that the implementation of the PhysioFocus practice accreditation programme is essential in private physiotherapy practice in South Africa. At present the current PhysioFocus practice accreditation programme does not address all the needs of private physiotherapy practices. Recommendations based on the research included remediation of the current PhysioFocus practice accreditation programme, formal education included business management, professional-ethical-Iegal issues, standards and scientific methods to analyse process variation and the development of improvement strategies in quality improvement. Other recommendations include informal education, physiotherapy management and structured quality improvement activities. The issue of the image of the professional physiotherapist was also addressed. Topics for future research were identified. The uniqueness of the research lies in the fact that this is the only physiotherapy practice accreditation programme implemented in South Africa. It is also the only physiotherapy practice accreditation programme in South Africa that has been evaluated.
AFRIKAANSE OPSOMMING: "Gehalte" het verskillende betekenisse vir verskillende mense. Selfs kenners op die gebied van gehalte stem nie saam met 'n enkele definisie nie. Juran se omvattende definisie is "gebruikswaarde", terwyl Crosby gehalte in terme van produksie, naamlik "zero defek", definieer. Deming definieer gehalte as "'n nimmereindigende siklus van voortdurende verbetering". Die een aspek wat al drie die kenners egter gemeen het, is dat bestuur leierskap moet aanvaar en demonstreer indien gehalte bereik wil word. Geen twee persone ervaar gehalte eenders nie. Indien diensverskaffers leiding wil behou ten opsigte van gehalte-definiëring, sal hulle verplig wees om: aktief deel te neem aan openbare debat oor gehalte; die aanvaarde definisie van gehalte te herevalueer; die aanvaarde definisie van gehalte op te weeg teenoor dié van die mediese hulpfonds-administrasie; gehalte- en data insamelingsisteme te ontwikkel om gehalte en waarde te bewys; en gewillig alle data te deel - nie net uitkomsdata nie, maar ook data wat spesifiek op individuele prosedures en diensverskaffers van toepassing is. Die PhysioFocus praktyk-akkreditasieprogram het gepoog om bogenoemde te bereik. Die navorsing het gerealiseer deurdat die doelstelling bereik is. Die doelstelling van die navorsing was om die PhysioFocus praktykakkreditasieprogram te evalueer en aanbevelings te maak vir 'n leerprogram vir die akkreditasieprogram. Die doelstelling het gerealiseer deur "n verkennende en beskrywende navorsingsontwerp vanuit 'n kwalitatiewe oriëntasie. Die evaluering van die PhysioFocus praktyk-akkreditasieprogram het deur middel van 'n gevalideerde evalueringsinstrument geskied. Die groepsonderhoud het areas van die PhysioFocus praktyk- akkreditasieprogram wat remediëring benodig, geïdentifiseer. Aanbevelings het professionele-etiese aspekte, besigheidsbestuur en wetlike aspekte ingesluit. Die aanbevelings sal deur die PhysioFocus praktykakkreditasiekommitee geïmplementeer word. Die evaluering van die PhysioFocus praktyk-akkreditasieleerprogram het deur middel van 'n semi-gestruktureerde vraelys met 11 oop vrae, tesame met 'n afdeling vir opmerkings, geskied. Die algemene aanname was dat die PhysioFocus praktyk-akkreditasieprogram noodsaaklik is in privaat fisioterapiepraktyk in Suid-Afrika. Die implementering van die PhysioFocus praktyk-akkreditasieprogram het gehalte fisioterapie, professionele en persoonlike ontwikkeling, die monitering van gehalteverbeteringsprosesse, asook evaluering en remediëring van hierdie prosesse, tot gevolg gehad. Dit het die sentraalteoretiese aanname van die navorsing ondersteun. Daar was egter kommer oor die gebrek aan standaarde, die beeld van die fisioterapieprofessie, asook die gebrek aan besigheidsbestuuropleiding. Die navorser het tot die gevolgtrekking gekom dat die implementering van die PhysioFocus praktyk-akkreditasieprogram noodsaaklik is in privaat fisioterapiepraktyk in Suid-Afrika. Die huidige PhysioFocus praktykakkreditasieprogram voldoen nie aan al die vereistes van privaat fisioterapiepraktyk in Suid Afrika nie. Aanbevelings vanuit die navorsing sluit die volgende in: remediëring van die huidige PhysioFocus praktyk-akkreditasieprogram; formele opleiding, insluitende profesionele-etiese-wetlike aspekte; standaarde; wetenskaplike metodes om die praktykprosesveranderinge te analiseer; en die ontwikkeling van 'n gestruktureerde gehalteverbeteringstrategie. Die beeld van die fisioterapieprofessie is ook aangespreek. Onderwerpe vir toekomstige navorsing is geïdentifiseer. Die navorsing is uniek omdat die PhysioFocus praktyk-akkreditasieprogram die enigste akkreditasieprogram vir fisioterapie in Suid Afrika is. Dit is ook die enigste fisioterapie-akkreditasieprogram wat in Suid Afrika geëvalueer is.
Books on the topic "Theses – Physical therapy"
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Rivers, Lynn C. Curricular validity of the New York State physical therapy student performance evaluation instrument: A thesis in Multidisciplinary Study. 1995.
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Holden, Melanie A., Martin J. Thomas, and Krysia S. Dziedzic. Miscellaneous physical therapies. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199668847.003.0026.
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Miscellaneous physical therapies, such as assistive devices, thermotherapy, manual therapy, and electrotherapy are commonly used to treat patients with osteoarthritis (OA) in addition to written information and exercise. However, the evidence underpinning specific miscellaneous physical therapies is often limited, with small study sizes, heterogeneous populations, and differing study designs making it difficult to draw firm conclusions about their effectiveness. One or more miscellaneous physical therapies feature within 15 current clinical guidelines for OA. The specific types of physical therapies addressed are variable, as are their recommendations. There is most agreement for miscellaneous physical therapies in hand OA, with multiple guidelines addressing and consistently recommending joint protection, splinting, and thermotherapy in addition to core treatment. However these recommendations are predominantly based on a small number of randomized controlled trials (RCTs). Use of walking aids and footwear is commonly addressed and recommended for patients with hip and knee OA, although recommendations are predominantly based on expert opinion. Other physical therapies recommended for hip and knee OA range from orthoses to less conventional leech therapy. When a recommendation for a miscellaneous physical therapy is not made, it is commonly due to limited clinical evidence, rather than evidence of harm. Due to limited evidence and lack of consensus between clinical guidelines, for some therapies, use of specific miscellaneous physical therapies in clinical practice should be based upon the best available evidence, a holistic, individualized clinical assessment and shared decision-making with the patient. Further large-scale, high-quality RCTs would be useful to inform future guideline recommendations and clinical practice.
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Gale, William G. Fiscal Therapy. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190645410.001.0001.
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America faces two distinct but related economic challenges. Steadily rising federal debt—largely fueled by rising healthcare costs and an aging population that will boost spending on Social Security, Medicare, and Medicaid—will make it harder to grow the nation’s economy, boost living standards, respond to wars or recessions, address social needs, and maintain the US role as a global leader. At the same time, an increasingly fractured society has left many people behind and let critical investments lag, even as overall prosperity has grown. How and when US citizens address these challenges will help determine the future they build for themselves and their children. This book proposes a remedy with three core elements: controlling entitlement spending in ways that preserve and enhance the programs’ anti-poverty and social insurance roles; betting on the future by stipulating major new public investments in human and physical capital; and raising and reforming taxes to pay for government services fairly and efficiently. Together, these changes would control federal borrowing, strengthen the economy, increase opportunity, reduce inequality, and build better lives for current and future generations. There is no need to kill popular programs or starve government. Indeed, a primary goal of fiscal reform is to maintain and enhance the vital functions that government provides. The country needs to act responsibly, pay for the government it wants, and shape that government in ways that serve it best.
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Scarlet, Janina, Ariel J. Lang, and Robyn D. Walser. Acceptance and Commitment Therapy for Posttraumatic Stress Disorder. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190205959.003.0003.
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This chapter examines evidence for the effectiveness of complementary and alternative medicine (CAM) for posttraumatic stress disorder (PTSD). There is high demand for CAM among both military and civilian consumers and thus CAM for PTSD warrants thorough analysis. The CAM interventions reviewed herein include mindfulness and other meditative practices, acupuncture, yoga, relaxation, breathing training, and physical exercise. Although there are few rigorous studies of CAM for PTSD, available evidence suggests that these approaches are moderately effective. They would generally not be considered a first line intervention for PTSD at this point, but rather would be recommended as an adjunct to established approaches. The limited number of studies available, however, precludes drawing firm conclusions. Thus, future work should focus on better understanding the optimal uses of CAM for PTSD.
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Tennankore, Karthik K., and Christopher T. Chan. Choices and considerations for in-centre versus home-based renal replacement therapy. Edited by David J. Goldsmith. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0144.
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There has been a renewed global interest in expanding home dialysis (both peritoneal dialysis (PD) and home haemodialysis (HHD)), but the majority of patients are maintained on in-centre haemodialysis (HD). While the importance of in-centre haemodialysis cannot be overlooked, home dialysis has many advantages. If so, why are so few patients maintained on home dialysis therapies? From the perspective of the patient, both inadequate modality education and self-perceived barriers limit selection of home dialysis. Physicians are less likely to consider elderly frail patients as candidates for home therapies. In addition, inadequate training and poor reimbursement for home dialysis are important physician barriers. From the facility perspective, the limited availability of personnel and physical resources to maintain a home unit are important barriers. However, while there are many obstacles to home dialysis, they can be overcome. Improved patient education, home support for elderly dialysis patients, and financial incentives may be effective measures. In addition, at the facility level, an emphasis needs to be placed on infrastructure development. Overall, while the appropriate balance of in-centre versus home-based renal replacement therapy has not been determined, maximizing the number of patients on home therapies is a reasonable target.
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Wang, Roger, and Sarah Choxi. Cervical Myofascial Pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0007.
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Cervical myofascial pain (CMP) is caused by trauma, spine pathology, repetitive strain, postural dysfunction, and physical deconditioning of the muscles that support the shoulders and neck. These include the trapezius, levator scapulae, splenius capitis, and rhomboid muscles. Treating the underlying etiology is the most effective therapy, however, it may be challenging to diagnose CMP, adding to the difficulty of definitive therapy. Management of CMP often requires a multidisciplinary approach incorporating physical therapy, pharmacotherapy, injection therapy, and behavioral modification. Neck pain is a common condition affecting two-thirds or more of the global population during their lifetime. The etiology of neck pain includes cervical disk disease, cervical facet-mediated pain, and CMP. In particular, CMP is often a cause of disability in the population with chronic neck pain.
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Schneider, Antoine G., Neil J. Glassford, and Rinaldo Bellomo. Choice of Renal Replacement Therapy and Renal Recovery. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199653461.003.0038.
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Acute kidney injury (AKI) is a major complication of critical illness, associated with increased mortality and morbidity. Among survivors of AKI, a subset will develop the need for chronic dialysis. Chronic dialysis imposes a major physical, emotional, economic, and social burden on ICU survivors and their caregivers. Evidence suggests that the type of renal replacement therapy used in the acute setting may affect renal recovery differently. For example, intermittent haemodialysis (IHD) increases the risk of hypotension and acute volume and solute fluctuations, and such physiological events have been associated with fresh renal injury. In contrast, continuous renal replacement therapy (CRRT) does not carry such risks. Consistent with such physiological and experimental observations and differences, several observational studies and some randomized controlled trials suggest that using IHD, instead of CRRT, as the preferred form of RRT increases the risk of patients entering a chronic dialysis programme. A recent meta-analysis confirmed these findings. Clinicians making decisions about the choice of RRT modality in ICU patients should carefully consider these observations.
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Maani, Christopher V., and LT Col Edward M. Lopez. Pain Management Procedures. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0030.
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Patients referred to pain clinics are often those with the most severe pain, who have failed more conservative approaches or strictly medical modalities. In other instances, the patients are referred for concerns of comorbidities or lack of pain management resources such as a clinic and procedure room with fluoroscopic capabilities. While the goal for these percutaneous interventions is improved pain control, they should be considered adjuncts and not replacements for a comprehensive pain management strategy. Most patients benefit from multimodal pain medication strategies, physical therapy, stress management and relaxation training, occupational therapy, acupuncture, or other treatment therapies. This chapter provides an overview and discussion of several of the most common pain procedures encountered in clinical pain management practices today. Each procedure is discussed with an initial description of the strategy, including technical aspects, medical indications, and relevant complications important for the pain management physician to understand. This will be followed by a section on considerations for anesthetic management.
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Schmidt, Gregory A., and Kevin Doerschug. Promoting physical recovery in critical illness. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0378.
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Survivors of critical illnesses are often faced with persistent neuromuscular weakness that interferes with daily activities. Advancements in survival from critical illness have led to a rise in the number of patients afflicted with post-intensive care unit (ICU) incapacity. It is clear that the pathology leading to ICU-acquired weakness is present within 24 hours of the start of ICU care. Care-givers must consider interventions to limit or reverse these processes from the onset of critical illness. We suggest strategies both for avoiding harms and for actively promoting recovery of skeletal and respiratory muscles. Muscular silence contributes to, while muscular activity alleviates, myopathy. Thus, limiting sedation and neuromuscular blockade will facilitate spontaneous muscle activity, and allow for active participation in physical therapy. Protocols that aggressively assess for the potential for extubation shorten the duration of ventilation and thus decrease exposure to sedation. Mobility teams should safely guide patients in their progress from a passive range of motion through more active therapies despite ongoing critical illness. Early ICU mobility is not only safe, but reduces the incidence of delirium and duration of mechanical ventilation. Importantly, early ICU mobility increases the likelihood of a return to independent function among ICU survivors. A change in culture from one that practices deep sedation and protective support is suggested, to one that demonstrates an urgency to liberate patients from the confines and perils of critical illness.
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Thakur, Anand C. Pain Management Assessment Beyond the Physician Encounter. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199981830.003.0011.
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The long-term use of opioids in the treatment of chronic pain patients has increased dramatically over the last two decades. With this increase has come abuse, misuse, diversion, and overdose deaths, resulting in tremendous media attention. Further, there has been an increase in regulatory scrutiny of the prescribing practices of healthcare professionals. Monitoring patient compliance with chronic opioid therapy has become very important. Urine drug monitoring and patient agreements are part of this monitoring effort. However, interpreting test results can be challenging and applying these results to patient care can be complex. Metabolites, interfering substances, and false-positives and false-negative results all need to be considered when interpreting test results. Test results should not be considered sacrosanct and should always be an opportunity for discussion with a patient.
Book chapters on the topic "Theses – Physical therapy"
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Darwiche, Joëlle, Cindy Eira Nunes, Nahema El Ghaziri, Camille Imesch, and Séverine Bessero. "Coparenting Interventions and Shared Physical Custody: Insights and Challenges." In European Studies of Population, 253–82. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-68479-2_12.
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AbstractThis chapter focuses on the issue of shared physical custody (SPC) in the broader context of coparenting interventions. To identify if and how these interventions address the issue of SPC, we provide a systematic overview of the currently available types of coparenting interventions after marital dissolution. To be selected, the interventions had to be published in peer-reviewed journals, target separated or divorced parents, integrate work on coparenting, and include a custody focus within the intervention curriculum or as a targeted outcome. Finally, they had to be subject to empirical evaluation.As a second step, using a case study, we investigate how the issue of SPC may be addressed before divorce, during couple therapy. We describe the therapy sessions to highlight the factors that may protect or undermine the development of a cooperative coparenting relationship while separating, and eventually create a positive shared-custody scenario after divorce. We also analyse the couple’s progress regarding individual symptomatology and coparenting satisfaction based on self-reported questionnaires and on the quality of their observed coparenting interactions.From a therapeutic perspective, this chapter aims to deepen our understanding of the challenges and opportunities of coparenting during and after separation and its intertwinement with the issue of SPC.
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Vinaik, Roohi, Joel Fish, and Marc G. Jeschke. "Burn Hypertrophic Scar in Pediatric Patients: Clinical Case." In Textbook on Scar Management, 517–21. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-44766-3_60.
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AbstractRecent improvements in burn care have resulted in greater patient survival of severe burns. With improved survival, treatment of the resulting permanent burn hypertrophic scars requires extensive care. Hypertrophic scarring occurs due to aberrations in the normal healing process, resulting in excessive inflammation and collagen deposition at the site of injury. These scars are accompanied by symptoms such as pain, pruritus, erythema, and limited mobility. The high scar prevalence in pediatric patients and accompanying physical, psychological, and social burden warrant a better understanding of the possible treatment options. Currently, several therapeutic strategies exist for hypertrophic scar management in the pediatric patient, although none are completely effective. Recently, laser therapy has emerged as a potential therapy for symptomatic relief and scar modulation. Here, we provide an up-to-date review of treatment options for hypertrophic scars in the pediatric population. In addition, we discuss a clinical case, outlining the potential merits of addition of laser therapy and surgical revision for the treatment of hypertrophic scars.
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Jorda, S., and H. Schmidt-Böcking. "Wilhelm Heinrich Heraeus—Doctoral Student at the University Frankfurt." In Molecular Beams in Physics and Chemistry, 187–92. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63963-1_10.
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AbstractWilhelm Heinrich Heraeus (*1900 – †1985), the founder of the Wilhelm and Else Heraeus Foundation, wrote his doctoral thesis at the University of Frankfurt in 1922–23 under the supervision of Richard Wachsmuth and Walther Gerlach. Thereby, he became a witness of the Stern-Gerlach experiment, completed in Frankfurt in 1922. In his thesis, Heraeus investigated “The dependence of the thermoelectrical force of iron on its structure” and was able to show that earlier measurements by G. Borelius were incorrect and irreproducible. On 23 July 1923, Heraeus passed his doctoral examination in Frankfurt under Wachsmuth’s auspices.
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Venables, Karen. "Basic physics." In External Beam Therapy, 6–26. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198786757.003.0002.
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Chapter 2 discusses the basic physics of external beam therapy, and addresses the fact that distribution of radiation within the patient will be affected by many factors. These include the energy and modality of the beam, the density of the tissue and the use of beam modification. The apparent distribution will also be affected by the accuracy of the algorithm used in the planning system.
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Hasanah, Idyatul, and Zikrul Haikal. "The Effects of Music Therapy on Cortisol Levels as a Biomarker of Stress in Children." In Music in Health and Diseases [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.99734.
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Stress is a physiological and psychological response to the perception of danger and threat. Stress can occur due to a physical injury, mechanical disturbance, chemical change, or emotional factor. Stress can occur at all ages, including children and adolescents. Various physical and psychological events can cause stress in children, for example suffering from an illness, injury/trauma, parental divorce, parental death, sexual abuse, natural disasters, war, etc. Various exposures to physical and psychological stress harmful to the body can cause it to carry out defense mechanisms against these threats, one of which is changes in the cortisol hormone. Cortisol hormone is used as a biochemical marker for acute and chronic stress. The increase in this hormone as an indicator of stress can be changed through psychosocial interventions, one of which is by the provision of music therapy. Music therapy can manage stress problems of people at various ages with minimal side effects and a small amount of money. It is also easy to apply and does not require any intellectual ability to interpret. There are no limitations for users to use music therapy.
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Marangoni, Allen, and Rhonda Haley. "Serving an International Higher Education Partner Using a Problem-Based Learning Format." In Handbook of Research on Effective Communication in Culturally Diverse Classrooms, 375–85. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-9953-3.ch019.
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Merida, Mexico, a community partner for service learning with Wheeling Jesuit University's (WJU) Doctor of Physical Therapy (DPT) program, is a city with a population of 800,000 people. This city lacked rehabilitation services to treat cardiopulmonary conditions, and the school of rehabilitation at the Universidad Autonoma de Yucatán (UADY) had no established educational programs addressing these conditions. In 2013 two English-speaking faculty members from the WJU DPT program provided the service of knowledge-sharing to this higher education partner through an extensive cardiopulmonary rehabilitation workshop in Merida. The workshop participants included physical therapists, occupational therapists, a physician, and rehabilitation students, all with Spanish as their primary language. Written and spoken language was identified as the primary barrier to providing the necessary education to the international students. The WJU Basic Science and Physical Therapy Skills courses, written in the English language, follow a problem-based format where students are asked to use resources to answer questions regarding patients with cardiopulmonary problems. These courses became the foundation for the solution to the language barrier problem. The information and students' answers from WJU courses were translated by UADY university professors over a several month period of time. During the workshop, the participants were separated into groups, each researching a topic using the provided translated materials to educate the others on their assigned topics. The participants used various methods to convey their new knowledge. There were interpreters available at all times during the workshop. Surveys at the conclusion of the workshop indicated that the learning experience was effective and enjoyable.
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Suwardianto, Heru. "Physical and Cognitive Therapy (PCT) in Critically Ill Patient." In Connectivity and Functional Specialization in the Brain. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.94154.
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The condition of Critically ill patients in the Intensive Care Unit (ICU) can make heavier impairment physical and cognitive functions. The research objective is to prove that physical-cognitive therapy affects towards increasing physical and cognitive functions to Critically ill patients in ICU. The research design was a Randomized Controlled Trials (RCTs). The samples were Critically ill patients in the ICU of Kediri Baptist Hospital as many as 64 Critically ill patients according to inclusion and exclusion criteria. The research has got ethical clearance from the Committee Ethics Medical Faculty of Diponegoro University. The research instrument used Physical Function ICU Test (PFIT) Indonesian Version and Mini-Mental State Examination (MMSE) Indonesian Version. The differential test used Independent t-test on physical function and Mann-Whitney test on cognitive function towards the intervention group and control group. The results showed that physical-cognitive therapy significantly affected increasing physical function (P < 0.001) with a mean increase of 3.2 points and cognitive function (P < 0.001) with a mean increase of 7.3 points. The difference test of influence between the intervention group and the control group was done by testing the posttest data on physical function (P < 0.001) and cognitive function (P < 0.001) in both groups. Effect size >0.8 (Physical Function: 3.2; Cognitive Function: 1.9). In conclusion, there was affecting physical-cognitive therapy towards increasing physical and cognitive functions to Critically ill patients in ICU.
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Dalal, Rajiv A. "Effective Physical Therapy Education Through Increased Student Engagement." In Cases on Digital Learning and Teaching Transformations in Higher Education, 154–83. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-9331-7.ch009.
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As technology grows, there are many applications into the educational arena. Educators are tasked with incorporating technology in teaching. This is best done through a systematic means to create effective change. The Digital Learning Initiative (DLI) was created with this in mind. This is a case study in the transformation of teaching methods through the DLI. The redesign was centered around the principles of assessment and course mapping. The course was reworked to allow for more feedback and interaction with the instructor. Digital apps were utilized to supplement content. Class sessions changed from traditional lecture into a flipped environment using active learning techniques. After the redesign, students improved in graded performance, as well as in engagement with the instructor and classmates. The instructor also reported increased engagement with students and more in-depth content coverage. Redesign is a dynamic process with some trial and error; however, with a solid framework based on assessment, there is potential for meaningful short and long-term course change.
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Markowitz, John C. "How the Pandemic Has Transformed Psychotherapy." In In the Aftermath of the Pandemic, 11–17. Oxford University Press, 2021. http://dx.doi.org/10.1093/med-psych/9780197554500.003.0003.
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Based on a recent article by the author and his colleagues published in the American Journal of Psychiatry, this chapter describes the overnight conversion of outpatient psychiatry from in-person treatment to remote tele-therapy. The chapter details the relatively small research base supporting tele-therapy and the limitations of that research. It describes both the advantages of tele-therapy, namely access to ongoing care, and its numerous limitations and distractions. These include issues of the treatment setting, transmission difficulties, electronic intrusions, physical discomfort, and emotional distancing. Nonetheless, at a time when many people need psychiatric treatment, tele-therapy can be invaluable.
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Martins, Tiago, Vítor Carvalho, and Filomena Soares. "An Overview on the Use of Serious Games in Physical Therapy and Rehabilitation." In Handbook of Research on Serious Games as Educational, Business and Research Tools, 1175–87. IGI Global, 2012. http://dx.doi.org/10.4018/978-1-4666-0149-9.ch061.
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As a significant number of individuals have severe motor disabilities due to neurological and musculoskeletal conditions, it is important to provide them with an appropriate rehabilitation program in order to improve their quality of life. Several study results suggest that many elements of the interactive games have tremendous potential as rehabilitation tools. Serious games can entertain the players, while rewarding and reinforcing healthy movements. As these technologies create a pleasant environment, they motivate the patients to perform the necessary exercises with satisfaction and total relaxation, even forgetting that they are conducting therapy. In this sense, various serious games are being applied in healthcare settings, namely in many physical therapy and rehabilitation situations. This chapter discusses the different potentialities of several serious games when used in physical therapy and rehabilitation of patients with problems in motor skills.
Conference papers on the topic "Theses – Physical therapy"
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Patel, Harsh, Wing Kin Chung, Vimal Viswanathan, and Sohail Zaidi. "Design and Testing of a Physical Therapy Device Controlled With Voice Commands." In ASME 2020 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/imece2020-23887.
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Abstract The world population is aging. Age-related disorders such as stroke and spinal cord injury are increasing rapidly, and such patients often suffer from mobility impairments. Wearable robotic exoskeletons are developed that serve as rehabilitation devices for these patients. An assistive knee brace is a simple wearable exoskeleton which is used to help people with mobility issues. This device provides partial assistance to the user and also helps in providing locomotion. Many exoskeletons are currently available in the market that have different functions and use. It is believed that, to date, no voice-controlled knee brace exists in an orthotic application, and that this project debuts a unique approach. This project presents the design of an assistive bionic knee joint with a motor-based actuator. The new exoskeletal mechanism uses the serial elastic actuator concept and mainly consists of a stepper motor, a ball screw, a set of spur gears, and a set of linear springs. The ball screw provides a linear movement to mimic the stretching and retracting action of a human knee. To create a proof-of-concept of the design, 3D printing is used. A voice recognition system has been developed in-house to control the exoskeleton using very simple voice commands. The motor is controlled using a motor driver and powered using an external power source. The 3D printed prototype with integrated voice-control module is tested for its essential functions. The test setup is loaded on the leg of a mannequin and tested under both no-load and full-load operation. The concept is proven to be successful in providing assistance to the human knee. However, the 3D printed material is observed to be bending, causing disruptions in the device’s operation. The reaction times are expected to be significantly larger compared to the theoretically calculated values.
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Taylor, Austin, Trent Slutzky, Leah Feuerman, Mable Fok, and Zion Tsz Ho Tse. "Origami Endoscope Design for MRI-Guided Therapy." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3352.
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The implementation of origami techniques into disposable surgical robotic tools is a promising research area with numerous clinical applications. Origami allows for flat foldable structures that can fit through small incisions, reducing patient scarring and recovery time as well as surgical costs. Devices that can provide tight navigation through curved anatomical pathways are crucial during these types of surgery, and can cost anywhere from hundreds to several thousands of dollars. It was hypothesized that an origami design based on a chain of deployable compliant rolling-contact elements (D-COREs) could be applied to design and fabricate a medical endoscope from a single sheet of 2D material (Fig. 1) to simplify fabrication and reduce the cost to under $100 [1–3]. We used software to model the physical actuation range of the endoscope and tested actuation of the D-COREs with shape-memory alloy (SMA).
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Viswanathan, Vimal K., and Julie S. Linsey. "Physical Models in Idea Generation: Hindrance or Help?" In ASME 2010 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2010. http://dx.doi.org/10.1115/detc2010-28327.
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Engineering idea generation is a critical part of new product development and physical models are one tool used in this phase of design. Unfortunately, few guidelines about the effective use of physical models to support idea generation exist. The advantages and disadvantages of physical models need to be clarified so that engineers know when and where to implement them effectively. Previous literature indicates there is potential for design fixation on physical prototypes. This limits the solutions considered. In contrast, other recommendations encourage the extensive use of physical models and the psychological literature indicates that physical representations have the potential to lead to more feasible design by supporting designers’ mental models of physical phenomena. This study evaluates these questions with a between-subjects experiment with four conditions, sketching only, building, building & testing, and constrained sketching. No evidence for design fixation is observed. The results show that physical models supplement designers’ mental models, thereby leading to higher quality ideas (fraction of functional ideas). This result shows a potential way of improving designer’s innovation by strategically implementing fast and cheap prototyping methods.
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Pop, Petru A., Liviu Lazar, and Florin M. Marcu. "Significance of Kinetotherapy in Rehabilitation Treatment of Osteoporosis." In ASME 2013 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/imece2013-64784.
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Osteoporosis is a systemic skeleton disease, characterized by a low bone mass and micro-architectural deterioration of bone tissue with consecutive increasing of fragile bones and susceptibility of fractures. Risk facture, advanced ages, family history, rheumatoid arthritis, low calcium intake, physical inactivity, and low body weight can lead to this condition. The aim of treatment in osteoporosis is to grow-up the bone mineral density of the skeleton and to increase resorption of formed bone, used diverse methods as medications, conservative measures, weight reduction, physical and occupational therapy, mechanical support devices and surgery. This paper presents a balneal-conservative treatment applied to 82 patients diagnosed with osteoporosis from Rehabilitation Clinical Hospital of Felix Spa in 2011–2012, which has combined with a kinetotherapy and medication treatment. The complex rehabilitation treatment involves balneal-physical-kinetic recovery treatment that must be periodical repeated every six months, while the subjects themselves at home followed the kinetotherapy with drugs between balneal-treatments at hospital. The significance of rehabilitation treatment for the osteoporosis patients is to rise both functional and independence level, and improving their quality life. DEXA, Qualeffo-41 Test, fragility fractures, difference of height patients, using the statistical analysis have performed the evaluation of trial. These results emphasized the efficiency of balneal-rehabilitation treatment with main accent on respect the kinetotherapy applied the osteoporosis patients. The future research will be focused upon the implementation of vibration therapy with balneal-conservative treatment on patients with osteoporosis to reduce the therapy time and improving the quality patients life.
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Brenteson, Charlotte, John Hauck, Bruce Wigness, and Doug Johnson. "Safety and Feasibility of a Novel Gait Training Device Using a “Spacesuit” to Support Body Weight." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3537.
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In the U.S. alone, 7.5 million individuals have survived stroke, traumatic brain injury, and spinal cord injury, and over a million new patients are diagnosed every year [1]. Most of these patients will need gait rehabilitation. Body weight supported gait training is a widely used rehabilitation therapy to improve gait function [2]. Commonly, a physical therapist provides assistance using a gait belt to support the patient. Sometimes two or three therapists may be needed for severely impaired patients. Bodyweight supported treadmill training uses a harness attached to an overhead lift to support body weight [2], however harness systems often cause discomfort and may take significant time to set up and take down. Lite Run Corporation has developed a system for the treatment of patients with gait and balance difficulties that uses differential air pressure inside a specially designed suit to reduce up to 50 percent of a patient’s body weight. The suit facilitates patient ambulation using technology like that in astronaut spacesuits to achieve comfort and flexibility. Potential benefits include longer therapy sessions due to greater comfort and greater unweighting, as well as the therapeutic benefits of being upright and walking for subjects unable to stand independently. The suit is used in conjunction with the Gait Trainer device shown in Figure 1 which provides air pressure to the suit and support for the patient. Gait Trainer features include: 1) electro-mechanical and pneumatic controls to support the suit and patient when rising from sitting to standing and ambulating during therapy — so that a single therapist can safely transfer a patient from a wheelchair and practice gait therapy; 2) an open design that permits access to patient’s body and legs by the therapist; 3) a compact profile that provides easy maneuverability; 4) a “base spread” function that permits positioning close to a patient when seated in wheel chair, bed or therapy table. Together these features provide safety and stability for the patient and reduced physical burden on the therapist. The objectives for the current study were to establish the safety and feasibility of the Gait Trainer, validate user design requirements, and to test the hypothesis that the rate of perceived exertion when using the device is significantly less than during unaided walking therapy.
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Koehler-McNicholas, Sara R., Alana Cataldo, Elizabeth Koch, Brittany Rud, Laura Gude, Charlotte Brenteson, Doug Johnson, et al. "Evaluation of a Novel Gait Training Device Using a Pressure Suit to Support Body Weight." In 2018 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dmd2018-6845.
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Supporting body weight and balance control are foundations of our ability to move and function independently. However, neurological disease, injury, and aging often threaten these prerequisites of functional independence, leading to a decrease in quality of life. In the United States alone, 7.5 million individuals have survived stroke, traumatic brain injury (TBI), or spinal cord injury (SCI), and over a million new patients are diagnosed every year [1–2]. To improve gait function in these patient populations, partial body weight-supported gait training is a widely-used rehabilitation therapy. In general, the therapeutic quality of partial body weight-supported gait training is directly proportional to the amount of time patients are able to tolerate an upright posture (either standing or walking). To achieve an upright posture, therapists must first attach a support system (e.g., gait belt, harness lift system, exoskeleton), then several therapists must assist the patient into a standing position. Depending on the patient’s level of impairment, several therapists may also be needed to support and assist the patient while standing and walking, then again to remove the support system at the end of therapy. Accordingly, multiple therapists are often needed to provide a small quantity of upright physical therapy time with standard support systems. Furthermore, use of standard support systems can be uncomfortable and fatiguing for the patient, further reducing their actual therapeutic treatment time [3].
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Teddy Weiss, A., David G. Fine, David Applebaum, Sima Welber, Dan Sapoznikov, Chaim Lotan, Morris Mosseri, Yonathan Hasin, and Meryyn S. Gotsman. "PREHOSPITAL CORONARY THROMBOLYSIS: A NEW STRATEGY IN ACUTE MYOCARDIAL INFARCTION." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1642979.
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Thirty-four patients with acute myocardial infarction were treated prospectively using a new strategy of pre-hospital intravenous streptokinase given by a physician-operated mobile intensive care unit. Prehospital treated patients who had experienced no previous myocardial infarction were compared to a similar group treated with streptokinase in-hospital. All patients underwent cardiac catheterization on day 6.Patients receiving streptokinase in the pre-hospital phase of acute myocardial infarction had smaller infarcts and better residual myocardial function than the group given streptokinase in-hospital in terms of peak creatine phosphokinase (900 v.1298 IU, p=0.023), ejection fraction (62 v. 55%, p=0,004), computer-derived dysfunction index (427 v. 727, p=0.003), and electrocardiographic QRS score (4.1 v. 6.4, p=0.001). The only difference between these groups at baseline was the duration of pain prior to initiation of streptokinase therapy (1.0 ± 0.4 hours vs. 1.9 ± 0.9 hours). There were no major complications related to pre-hospital administration of streptokinase.Pre-hospital stretokinase infusion is feasible, safe and practical. It reduces ischemia time because treatment is not delayed until hospital arrival and therapy limits infarct size. Thrombolytic therapy for acute myocardial infarction can be initiated at home and should not be limited to hospitalized patients.
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Yu, Qianfeng, Gang Zhao, Weiping Ding, and Dayong Gao. "Effect of Vascular Network on Conventional Cryosurgery and Nano-Cryosurgery." In ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14103.
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Cryosurgery is a physical therapy of tumor treatment, which is becoming more and more popular recent years due to its important clinical merit1. However, in many clinical cases, treatment by cryosurgery has high recurrence rate, especially for tumors in some internal organs, such as liver. Most of these recurrent cases are caused by the low freezing efficiency, for example, it can’t destroy all the tumor cells especially the cells in the edge of the tumor or near the vascular network during conventional cryosurgery process. In view of this, Liu et al. proposed a new surgical strategy, “nano-cryosurgery”, to enhance freezing efficiency2.
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Pedret, K., and L. H. Shu. "Informing Design Defixation Using Interventions for Psychiatric Disorders." In ASME 2019 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/detc2019-98277.
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Abstract Design fixation has been extensively studied in the context of engineering design, leading to several interventions to reduce its negative effects. The concept of mental fixation has roots in diverse psychological contexts from Freudian psychoanalysis to Gestaltism and eating disorders. Although the underlying concepts are similar, the phenomenon has different names, including mental set, rumination, functional fixedness, obsession, etc. Mental fixation in its various forms is always a barrier to problem solving, whether the problem is a psychological disorder or an engineering-design task. The present paper explores the applicability to design fixation of cognitive therapy, a form of psychotherapy that relies on questioning to identify and modify inaccurate perceptions. Originally developed to treat depression, it is now used to treat a variety of psychiatric disorders. Specific interventions used in cognitive therapy are described in detail towards developing new means of overcoming design fixation. These interventions include cognitive restructuring and exposure response prevention. Also explored are links to other research results from psychology and cognitive science, including focused distraction, and the effects of music and physical exercise. In addition to developing new interventions, existing design-fixation interventions can also be supplemented using insights from these research results.
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Wadkar, Abhijeet, Prithvi K. Jupalli, and Samuel F. Asokanthan. "Simulation of Magnetic Field Induced Current for Magnetic Seizure Therapy." In ASME 2017 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/imece2017-72671.
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Magnetic seizure therapy (MST) is currently on trial as an alternative to Electro-convulsive therapy (ECT) to treat patients suffering from treatment resistant depression (TRD). This paper is concerned with developing a deeper understanding of the mechanics behind MST by employing finite element analysis (FEA) of brain. To this end, a model that consists of concentric spherical layers that represent a realistic anatomical head model has been employed. Simulations performed via COMSOL Multi-physics helped identify the dimensions and coil types for the MST device as well as the angular probing orientations. Largest induced current due to the externally imposed magnetic field was found in the cerebrospinal fluid (CSF), which act as a barrier to induce current in the gray matter. Different copper coil configurations were experimented with namely the cap coil, stacked coil and the multi-stacked coil. These studies are envisaged to provide a quantitative approach to virtually simulate the MST procedure and hence enhance the benefits clinical trials that are currently underway.
Reports on the topic "Theses – Physical therapy"
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Saldanha, Ian J., Wangnan Cao, Justin M. Broyles, Gaelen P. Adam, Monika Reddy Bhuma, Shivani Mehta, Laura S. Dominici, Andrea L. Pusic, and Ethan M. Balk. Breast Reconstruction After Mastectomy: A Systematic Review and Meta-Analysis. Agency for Healthcare Research and Quality (AHRQ), July 2021. http://dx.doi.org/10.23970/ahrqepccer245.
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Objectives. This systematic review evaluates breast reconstruction options for women after mastectomy for breast cancer (or breast cancer prophylaxis). We addressed six Key Questions (KQs): (1) implant-based reconstruction (IBR) versus autologous reconstruction (AR), (2) timing of IBR and AR in relation to chemotherapy and radiation therapy, (3) comparisons of implant materials, (4) comparisons of anatomic planes for IBR, (5) use versus nonuse of human acellular dermal matrices (ADMs) during IBR, and (6) comparisons of AR flap types. Data sources and review methods. We searched Medline®, Embase®, Cochrane CENTRAL, CINAHL®, and ClinicalTrials.gov from inception to March 23, 2021, to identify comparative and single group studies. We extracted study data into the Systematic Review Data Repository Plus (SRDR+). We assessed the risk of bias and evaluated the strength of evidence (SoE) using standard methods. The protocol was registered in PROSPERO (registration number CRD42020193183). Results. We found 8 randomized controlled trials, 83 nonrandomized comparative studies, and 69 single group studies. Risk of bias was moderate to high for most studies. KQ1: Compared with IBR, AR is probably associated with clinically better patient satisfaction with breasts and sexual well-being but comparable general quality of life and psychosocial well-being (moderate SoE, all outcomes). AR probably poses a greater risk of deep vein thrombosis or pulmonary embolism (moderate SoE), but IBR probably poses a greater risk of reconstructive failure in the long term (1.5 to 4 years) (moderate SoE) and may pose a greater risk of breast seroma (low SoE). KQ 2: Conducting IBR either before or after radiation therapy may result in comparable physical well-being, psychosocial well-being, sexual well-being, and patient satisfaction with breasts (all low SoE), and probably results in comparable risks of implant failure/loss or need for explant surgery (moderate SoE). We found no evidence addressing timing of IBR or AR in relation to chemotherapy or timing of AR in relation to radiation therapy. KQ 3: Silicone and saline implants may result in clinically comparable patient satisfaction with breasts (low SoE). There is insufficient evidence regarding double lumen implants. KQ 4: Whether the implant is placed in the prepectoral or total submuscular plane may not be associated with risk of infections that are not explicitly implant related (low SoE). There is insufficient evidence addressing the comparisons between prepectoral and partial submuscular and between partial and total submuscular planes. KQ 5: The evidence is inconsistent regarding whether human ADM use during IBR impacts physical well-being, psychosocial well-being, or satisfaction with breasts. However, ADM use probably increases the risk of implant failure/loss or need for explant surgery (moderate SoE) and may increase the risk of infections not explicitly implant related (low SoE). Whether or not ADM is used probably is associated with comparable risks of seroma and unplanned repeat surgeries for revision (moderate SoE for both), and possibly necrosis (low SoE). KQ 6: AR with either transverse rectus abdominis (TRAM) or deep inferior epigastric perforator (DIEP) flaps may result in comparable patient satisfaction with breasts (low SoE), but TRAM flaps probably increase the risk of harms to the area of flap harvest (moderate SoE). AR with either DIEP or latissimus dorsi flaps may result in comparable patient satisfaction with breasts (low SoE), but there is insufficient evidence regarding thromboembolic events and no evidence regarding other surgical complications. Conclusion. Evidence regarding surgical breast reconstruction options is largely insufficient or of only low or moderate SoE. New high-quality research is needed, especially for timing of IBR and AR in relation to chemotherapy and radiation therapy, for comparisons of implant materials, and for comparisons of anatomic planes of implant placement.
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Reiter, Claudia, and Sonja Spitzer. Well-being in Europe: decompositions by country and gender for the population aged 50+. Verlag der Österreichischen Akademie der Wissenschaften, March 2021. http://dx.doi.org/10.1553/populationyearbook2021.res4.1.
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The well-being of older Europeans is of increasing importance given the substantialageing of the population. This paper comprehensively analyses well-being forthe population aged 50+ in 26 European countries, using the newly proposedindicator “Years of Good Life” (YoGL), which measures the remaining yearsof life that an individual can expect to live in a “good” state. The indicatorenables the decomposition of well-being into various dimensions, thereby revealingimportant heterogeneities between regions and genders. Results show that numbersof YoGL at age 50 vary considerably between European countries. They are highestin Northern and Western European countries and lowest in Central and EasternEuropean countries, where many “good” years are lost due to low life satisfaction.Interestingly, the high life expectancy levels in Southern Europe do not translate intohigher numbers of YoGL, mainly due to the low levels of physical and cognitivehealth in this region. While women and men can expect to have similar numbersof YoGL, women are likely to spend a smaller proportion of their longer remaininglifetime in a good state. These results demonstrate the importance of using wellbeingindicators that consider population heterogeneity when measuring humanwell-being, especially for older populations.