• In the Getting started with research, I discussed means of getting started in research, choosing a research area and development of a research question. This leads the research student on to the development of a research proposal, however, before the final research proposal can be developed and presented, it is imperative that the previous literature in the area is scoped and evaluated to identify the need for the proposed study and establish its context in the specific research area. In this article, I will discuss means of undertaking and presenting a literature review. While the focus of the article is presenting the literature review for dissertation purposes, I will also touch upon disseminating review in academic journals.

  • Poor rehabilitation adherence may lead to sub-optimal treatment outcomes, reduced clinic efficiency and increased cost of care. But despite this knowledge, research indicates that attendance at physiotherapy departments is within 54%-94%and can be as low as 40%. Several studies confirm that adherence to a clinic-based exercise protocol is often around the 50% markand may be particularly poor for unsupervised home exercise programs.

  • Rehabilitation adherence is an outcome of a complex interaction of physical, social, therapeutic and psychological elements. This second article, based on the findings of my doctoral research, highlights the role of social support and other social influences as a determinant of rehabilitation adherence.

  • Parkinson Canada presents the role of physiotherapy in management of parkinson's disease

  • As pain alleviation is one of the principal therapeutic outcomes for musculoskeletal physiotherapists, it is imperative that we are able to accurately evaluate and measure pain.

  • Cardiovascular diseases (CVDs) are a group of disorders of the heart and blood vessels and include coronary artery disease, cerebrovascular disease - disease of the blood vessels supplying the brain, peripheral arterial disease – disease of blood vessels supplying the arms and legs, rheumatic heart disease – damage to the heart muscle and heart valves from rheumatic fever, caused by streptococcal bacteria, congenital heart disease - malformations of heart structure existing at birth deep vein thrombosis and pulmonary embolism – blood clots in the leg veins, which can dislodge and move to the heart and lungs.

  • While objective clinical testing is important and is given a lot of focus within clincal training programs, subjective assessment and history taking is one of the key aspects of the clinical reasoning process. A detailed subjective assessment will help a physiotherapist form provisional hypotheses as to the potential causes of the patient's presentation and therefore form the basis of the subsequent objective assessment.

  • Recently Independent.ie published an article about low back pain which talked about some of the most common triggers. Frankly, it was one of the most outrageous articles written on the causes of low back pain. It was as if research doesn't count for anything. One of the assertions was uterus can push back on the spine causing inflammation of spine.... just utter rubbish.... with no consideration of evidence or anything.. Twitterati went into hyperactivity in challenging the basis of assertions.. calling out the biased facts.... and finally the article was removed from their website.. 

    But the positive news is that The Lancet and their Low Back Pain Series Working Group has come up with a series of articles on low back pain which summarise the state of the art. The articles have been authored by the best in the business of researching low back pain and clearly present the evidence for this most common low back clinical presentation. 

    The first article is titled 'what is low back pain and why we need to pay attention.' This article presents the global burden of low back pain as the leading cause of disability worldwide. But more importantly it highlights that only a small proportion of people have a well understood pathological cause—eg, a vertebral fracture, malignancy, or infection. Most people with new episodes of low back pain recover quickly; however, recurrence is common and in a small proportion of people, low back pain becomes persistent and disabling. It goes on to discuss that that central pain-modulating mechanisms and pain cognitions have important roles in the development of persistent disabling low back pain.

    The second article focusses on the prevention and treatment of low back pain. The key focus is on utilisation of education and self management as the key interventions as opposed to inappropriately high use of imaging, rest, opioids, spinal injections, and surgery. I was shocked recently when having a conversation with one of the colleagues who is starting some work in Australia and mentioned that it has been recommended that all patients will undergo an initial MRI scan... not sure who devises such recommendations... but anyway, back to the topic.. the key focus is on moving away from therapies which have little evidence for benefit but surely work to move the locus of control from the patient to the therapist and therefore ensure that the patient keeps turning up in private practice. While researchers have said that for a while now, unfortunately, both the patients and physiotherapists continue to utilise the same passive therapies to manage low back pain. The authors have also highlighted the role of psychological therapies in managing chronic persistent low back pain. If you work with low back pain patients, this article is well worth a read. 

    Finally, as a call to action, the Low Back Pain Series Working Group has recommended focused strategies to implement best practice, the redesign of clinical pathways, integrated health and occupational interventions to reduce work disability, changes in compensation and disability claims policies, and public health and prevention strategies.

    All these articles are available free

  • Recognizing the early signs of autism and seeking early intervention can improve outcomes. UCSF Clinical Professor Dr. Barbara Bennet explains the signs that may indicate a child is at risk for an autism spectrum disorder. Recorded on 11/20/2014. Series: "UCSF Osher Center for Integrative Medicine presents Mini Medical School for the Public" [3/2015] [Health and Medicine] [Show ID: 28913]

  • Lessons from the Field: Autism Series (February 12, 2009)

    Early Identification and Intervention
    Presenters:
    Wendy Stone, Ph.D., Professor and Director — Kennedy Center Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Vanderbilt University
    Mary Hunt — Minnesota School-wide Positive Behavioral Interventions and Supports team, Minnesota Department of Education
    Pat Pulice — Fraser

    For more materials on autism and this presentation visit: http://www.extension.umn.edu/family/cyfc/our-programs/lessons-from-the-field/autism-spectrum-disorders/

    © 2014, Regents of the University of Minnesota. All rights reserved.

  • Professor Michele Sterling provides an overview of what is what, what is hot and what is not, in the prevention and management of whiplash associated disorders.

    Her lecture is followed by a more interactive session in which she and Professor Moseley discuss some of the more perplexing aspects of neck pain.

  • ADHD is one of the most common neurobehavioral disorders of childhood. Dr. Neal Rojas, UCSF Developmental-Behavioral Pediatrician discusses how ADD/ADHD is diagnosed and the ways in which it is treated. Series: "UCSF Osher Mini Medical School for the Public" [10/2012] [Health and Medicine] [Show ID: 24015]

  • This video describes shoulder joint differential diagnosis, examination of shoulder joint according to pain and chief complains.
    difference between tendinitis, tendinopathy, tendinosis, paratenonitis.
    biceps tendinitis, Rotator cuff tendinitis, Rotator cuff tear, shoulder impingement types and its stages, differential diagnosis of Rotator cuff tear ans shoulder impingement. subacromial bursitis, differential diagnosis of tendinitis and bursitis . TOS and type of TOS, difference of vascular and neural TOS, differential diagnosis of TOS and pronator Teres syndrome. scapular dyskinesia, special test for dyskinesia and sick scapula, Laberal tear : SLAP lesion, Bankart's tear , Hill-sach's tear.shoulder instability: anterior, posterior and inferior instability . Adhesive capsulitis, AC sprain and fracture of shoulder joint.

    if you want to approach the exams with clinical view point, please visit this . https://therapyexamprep.com

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