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Physical Therapist

Physical Therapists are healthcare professionals who evaluate, diagnose, and treat individuals with physical impairments, disabilities, or movement dysfunctions.
They design and implement personalized treatment plans to help patients improve mobility, reduce pain, restore function, and prevent future injuries.
Physical Therapists utilize a variety of techniques, including exercise, manual therapy, modalities, and patient education, to help their clients achieve optimal physical health and wellbeing.
They work across a wide range of settings, including hospitals, clinics, schools, and private practices, collaborating with other healthcare providers to deliver comprehensive, patient-centered care.
Physical Therapists play a crucial role in helping individuals of all ages recover from injuries, manage chronic conditions, and enhance their quality of lief.

Most cited protocols related to «Physical Therapist»

The Balance Evaluation Systems Test (BESTest) (7 (link)) contains six subscales, covering a broad spectrum of performance tasks: 1) biomechanical constraints, 2) stability limits, 3) transitions and anticipatory postural adjustments, 4) postural responses to perturbation, 5) sensory orientation while standing on a compliant or inclined base of support, 6) dynamic stability in gait with and without a cognitive task (Table 1). The BESTest consists of 27 items but some of them are subdivided into 2-4 subitems (e.g. for left and right sides) for a total of 36 tasks. Each item is scored on a 4-category ordinal scale from 0 (worst performance) to 3 (best performance). Specific patient and rating instructions, and stopwatch and ruler values are used to improve reliability (see www.bestest.us). Patients were rated by a physical therapist (M.G.) with four years of practice experience in balance assessment, who participated in a 1 week training course on the BESTest, at the Balance Disorders Laboratory - Oregon Health & Science University.
Publication 2010
BAD protein, human Cognition Patients Physical Therapist Task Performance
The study population included all Medicare beneficiaries, 18 years and older, who received home health care in 2015 (4,243,090 people). Two data sources containing three race/ethnicity variables for our sample of Medicare beneficiaries were linked using the unique Chronic Conditions Warehouse (CCW) beneficiary identification number for the entire study population: The 2015 Medicare Beneficiary Summary File (MBSF) containing the Enrollment Database (EDB) race variable and Research Triangle Institute (RTI) race variable; and the 2015 Outcome and Assessment Information Set (OASIS) containing the ‘gold-standard’ self-reported race/ethnicity for all home health care patients. All three race variables (EDB, RTI, OASIS) were available for the entire study population.
During the initial home health care visit by a registered nurse or licensed physical therapist, as part of the standardized OASIS assessment, race/ethnicity data are obtained by self-report (a caregiver may answer if the patient is unable) and allows for multiple answers to be recorded. The directions for this question include the words “Mark all that apply” and the response choices are: 1) American Indian or Alaska Native, 2) Asian, 3) Black or African-American, 4) Hispanic or Laino, 5) Native Hawaiian or Pacific Islander, and 6) White.
For the purposes of this paper, and for consistency with the EDB and RTI race variable categories, beneficiaries who self-identified as either or both 1) Asian and 2) Native Hawaiian or Pacific Islander were classified as Asian American/Pacific Islander (AAPI). The vast majority (99.73%) of home health beneficiaries had only a single race/ethnicity recorded, and we restricted our study to this population. Details of the remaining 11,720 people (0.27% of study population) who identified with two or more racial/ethnic groups are included for the interested reader as a brief Appendix. Our final study sample consisted of 4,231,370 adult Medicare beneficiaries who received home health care in 2015. The study was approved by the Institutional Review Board of [replace with the authors’ academic institution].
Publication 2019
Adult African American Alaskan Natives American Indians Asian American Native Hawaiian and Pacific Islander Asian Persons Chronic Condition Ethics Committees, Research Ethnicity Gold Hispanics Native Hawaiians Pacific Islander Americans Patients Physical Therapist Racial Groups Registered Nurse

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Publication 2016
Cerebrovascular Accident Ethics Committees, Research Pharmaceutical Preparations Physical Therapist Veterans
We developed a questionnaire that initially included 100 items assessing each of the domains through their related key constructs (see Additional file 1). First, constructs within domains were selected based on:
1. Their conceptual relatedness to the content of the domain (i.e., Knowledge, Skills, Professional role, and Memory);
2. Their inclusion in relevant theories frequently used in the field of behavior change (and thus ready access to existing items): the Theory of Planned Behavior [41 (link)] (i.e., Perceived behavioral control, Attitude, Subjective norm, and Intention) and Social Cognitive Theory [42 (link)] (i.e., Self-efficacy, Outcome expectancies, and Social support);
3. The existence of validated scales to measure constructs (i.e., Role clarity, Optimism, Emotions, Action planning, Coping planning, Automaticity); and/or
4. Constructs’ relevance to the implementation of PA intervention in routine healthcare by mapping factors resulting from previous research [13 (link),43 (link)] onto the TDF domains (i.e., Reinforcement, Priority, Characteristics of the innovation, Characteristics of the socio-political context, Characteristics of the organization, Characteristics of the participants, Characteristics of the innovation strategy, Descriptive norm).
Second, for each domain a minimum of two and a maximum of 24 items were developed, with an average of 4 items for each construct. Items were related to the target behavior ‘delivering PA interventions following the guidelines’. Items measuring the constructs within the domains ‘Knowledge’, ‘Beliefs about capabilities’, ‘Social influences’, ‘Emotion’, ‘Behavioral regulation’, and ‘Nature of the behaviors’ [37 (link),41 (link),42 (link),44 -49 ] were adapted from previously published questionnaires. The content of these items was based on previous research on factors influencing the implementation of PA intervention in routine healthcare [13 (link),43 (link)]. For instance, items measuring the constructs Self-efficacy [41 (link)] and Coping planning [47 (link)] were developed so that they included HCPs’ barriers of lack of time and patient motivation. Items measuring constructs within the domains ‘Skills’, ‘Social/professional role and identity’, ‘Memory, attention, and decision processes’ were based on results of the discriminant content validity study [40 (link)]. With regard to the domain ‘Beliefs about consequences’, items measuring the constructs Attitude [41 (link)] and Outcome expectancies [42 (link)] were adapted from previously published questionnaires, whereas items measuring the construct Reinforcement were newly developed (as none could be located in the literature). Regarding the domain ‘Motivation and goals’, items measuring the construct Intention were adapted from a previously published questionnaire [41 (link)], while items were newly developed for the construct Priority. Furthermore, new items were created for the domain ‘Environmental context and resources’. New items were developed based on discussions between WAG, MRC, and JMH. These discussions were informed by the academic literature on the concept and definition of specific domains and constructs, questions to identify behavior change processes as formulated by Michie et al. [28 (link)], and themes emerging from interviews on the implementation of PA interventions [43 (link)]. Finally, the questionnaire was piloted among five colleague researchers and a sample of eight physical therapists. Piloting indicated that the questionnaire was easily understood and well received by the respondents.
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Publication 2014
Attention Behavior Control Behavior Therapy Emotions Memory Motivation Optimism Patients Physical Therapist Reinforcement, Psychological
We conducted a systematic review to develop an international clinical practice guideline in accord with the World Health Organization’s Handbook for Guideline Development15 and the Institute of Medicine’s standards.16 We followed the Equator Network reporting recommendations outlined in the Appraisal of Guidelines, Research and Evaluation (AGREE) II instrument17 (link) and the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement.18 We systematically searched MEDLINE (1956–2016), EMBASE (1980–2016), CINAHL (1983–2016), and the Cochrane Library (1988–2016) and hand searched using the following terms: cerebral palsy, diagnosis, detection, prediction, identification, predictive validity, accuracy, sensitivity, and specificity. We included systematic reviews with or without meta-analyses, criteria of diagnostic accuracy, and evidence-based clinical guidelines. Quality was appraised using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) methodological rating checklist for systematic reviews of diagnostic accuracy.19 (link)The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework was used to assess quality and formulate recommendations along a 4-part continuum, including strong for, conditional for, conditional against, and strong against.20 (link) As per the GRADE method, we weighed (1) the balance between desirable and undesirable consequences of different management strategies or not acting; (2) family preferences, including benefits vs risks and inconvenience; and (3) cost. Recommendations were discussed face-to-face among all authors, and the manuscript was reviewed, edited, and agreed on by all coauthors. Authors were clinicians involved in the diagnosis of cerebral palsy, including neurologists, pediatricians, neonatologists, rehabilitation specialists, general practitioners, neuroradiologists, psychiatrists, physical therapists, psychologists, occupational therapists, speech pathologists, nurses, and early educators. Individuals with cerebral palsy and parents also contributed as equal authors, ensuring that recommendations addressed their views and preferences.
Publication 2017
cDNA Library Cerebral Palsy Diagnosis Face General Practitioners Hypersensitivity Neonatologists Neurologists Nurses Occupational Therapist Parent Pathologists Pediatricians Physical Therapist Psychiatrist Rehabilitation Specialists Speech Tests, Diagnostic

Most recents protocols related to «Physical Therapist»

This single center, prospective observational sequential-group study was conducted at Thorax Centrum Twente (Medisch Spectrum Twente, Enschede, The Netherlands), a tertiary non-academic teaching hospital. Consecutive adult patients undergoing non-salvage cardiac surgery were included. Patients were excluded with a Katz Index of Independence in Activities of Daily Living ≤ 2 before surgery (i.e. all patients included were preoperatively independent in daily life mobilization) [21 (link)] and patients with an intensive care unit (ICU) stay longer than 72 h were also excluded from analysis.
All patients were admitted to the ICU after surgery. An A1 paper size (84 × 59 cm) mobilization poster for each patient room was developed (Fig. 1) based on preliminary external work with a smaller A4 paper size leaflet [22 (link)].

A Design of mobilization poster to promote early mobilization at cardio-thoracic surgery ward attached to every patient room; B Poster situated in patient room in original language (Dutch)

The “Moving is Improving!” practice improvement initiative recruited from 03 to 20 October 2016 as UCG, and from 31 October 2016 to 22 November 2016 for the poster mobilization group (PMG). This practice improvement was initiated when nurses and physiotherapists observed that patients were not motivated for early mobilization. A best practice unit leadership program was started with the underlying study.
7 dedicated physical therapists trained for cardio-thoracic physiotherapy practice participated in the study. Physical therapists were trained in ACSM and TCT classification and a pocket card was handed out for daily use. Nurses and surgical staff were also educated on the importance of early mobilization. One physical therapy intern was added to the team in the PMG, and received similar training. A physiotherapist noted down patient-reported ACSM score daily at each patient room, and was collected after discharge. After interim analysis, the mobilization poster (Translated from Dutch to English, Fig. 1) was implemented as new standard care in the cardio-thoracic surgery ward and patients were also included from 10 September 2017 to 26 March 2018 (PMG).
ACSM score (see Table 1 for definitions) was used to compare UCG to PMG during postoperative hospital stay. No other changes than the poster were implemented during the study.
Change in in-hospital ACSM score and a more detailed Thorax Centrum Twente score (TCT) were defined as primary endpoints. Secondary endpoints included ICU length of stay, surgical ward stay and 30-, 120-day and overall survival. Follow-up on mortality was 100% and ended 1 February 2021. Baseline characteristics were determined based on EuroSCORE II definitions [23 (link)]. Rethoracotomy within 30 days, red blood cell transfusions, and rhythm problems were defined according to Netherlands Heart Registry definitions [24 ]. Temporary pacemaker leads were removed at postoperative day 2 to 5, depending on the type of surgery and underlying rhythm. Having a temporary pacemaker lead was no constraint for mobilization.
A 3 weeks interval of cardio-thoracic surgery determined UCG study size. A consecutive 3 weeks interval determined PMG size and was followed by 6 months use of the poster as new standard care (PMG).
The investigation conforms with the principles outlined in the Declaration of Helsinki [25 (link)]. This study was exempted from the Medical Research Involving Human Subjects Act by the Medical Ethics Committee Twente (METC Twente: K16-85) and was approved by the local institutional review board. Patients therefore did not sign informed consent.
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Publication 2023
Adult Chest Critical Care Early Mobilization Ethics Committees Ethics Committees, Research Heart Nurses Operative Surgical Procedures Pacemaker, Artificial Cardiac Patient Discharge Patients Physical Therapist Red Blood Cell Transfusion Surgical Procedure, Cardiac Therapy, Physical Thoracic Surgical Procedures
Patients received passive mobilization strategies, and potentially sitting on the edge of their bed or chair mobilization starting from the first postoperative day at ICU. Patients received physical therapy twice a day until the 3rd postoperative day and then once a day in both groups, as is standard of care [8 (link)]. A standardized program starting at ICU discharge included:

Day 1: Breathing exercises, coughing techniques, control mobilization upper- and lower extremities, transfer from bed to chair with assistance;

Day 2: Exercises as on day 1. Self-transfer from bed to chair with or without assistance, ambulation with assistance for 20 m at surgical ward;

Day 3: Exercises as on day 2. Ambulation with increase in distance (± 15 m) and frequency (3 times), cycling for 5–10 min with 0–10 Watt depending on hemodynamic stability;

Day 4: Exercises as on day 3. Walking stairs (1 floor) with assistance, information on home mobilization, increase cycling duration (5–10 min) and power (10–15 Watt).

Each patient specific exercise program was based on evaluation findings, comorbidities and patient goals. The poster was discussed during physical therapy sessions, where exercises were shown. Patients were encouraged to continue mobilization activities as practiced with the physiotherapist. Furthermore, patients in the poster group were stimulated to practice the poster exercises regularly.
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Publication 2023
Breathing Exercises Hemodynamics Lower Extremity Operative Surgical Procedures Patient Discharge Patients Physical Therapist Therapy, Physical
The physical intervention for cases and controls followed an initial assessment that took place after the consent form was read and signed and measured disease severity (BPRS) (cases only), quality of life (SF-36), and physical activity level (SIMPAQ). The aerobic or functional physical intervention program lasted 12 weeks in healthy cases and controls. Patients continued with regular clinical treatment in addition to standardized activity, and after completion of the intervention program, revaluation was performed using all the tests and questionnaires mentioned above.
The aerobic protocol was as follows: 24 patients diagnosed with SCZ were paired with 24 sedentary controls without mental illness. The program lasted 12 weeks and consisted of 1-h aerobic exercise sessions twice a week. The sessions were carried out individually or at most in pairs and monitored by a physiotherapist blinded to the evaluations. The participants were monitored using a Polar FT1® frequency meter with results adjusted for age, sex, weight, and height. Measurements ranged from 70 to 80% of the maximum heart rate calculated using Karvonen’s formula.
A standard aerobic session consisted of the following: a 5-min warm-up at a comfortable intensity followed by aerobic exercise of increasing intensity with one of three modalities: (a) a bicycle ergometer (Embreex 367C, Brazil), (b) a treadmill (Embreex 566BX, Brazil), or (c) an elliptical trainer (Embreex 219, Brazil). This strategy was consistent with public health recommendations that suggest tailoring the program to individual preferences, which has been proven to be feasible in patients diagnosed with SCZ. A trained professional coordinated the intervention sessions with guidance and equipment adjustments and encouraged each participant to perform the exercises in the best way possible. After completing the aerobic exercise, participants globally stretched the major muscle groups.
The functional protocol was as follows: 14 patients diagnosed with SCZ were paired with 14 sedentary controls without mental illness. The program lasted 12 weeks and consisted of 1-h physical function training sessions twice a week. The participants carried out the program in trios or quartets and were trained by a physical therapist blinded to the evaluations.
A standard session consisted of the following: a 5-min warm-up with stationary walking, followed by 15 min of muscle and joint mobility exercises. Then, 25 min of global muscle endurance exercises (paravertebrae, abdominals, extensors, flexors, adductors, hip abductors, flexors and extensors of the shoulders, knees, and elbows) based on the basic movements of functional training (sit and stand, pull and push, and rotate and advance) were performed, followed by 15 min of respiratory body awareness work. A maximum number of repetitions were performed in 30 s (only once per exercise) and accessories such as balls, elastic bands, and dumbbells were used according to the level of resistance required.
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Publication 2023
Abdomen Awareness Elbow Exercise, Aerobic Human Body Knee Mental Disorders Movement Muscle Tissue Patients Physical Examination Physical Therapist Range of Motion, Articular Rate, Heart Shoulder TRIO protein, human Work of Breathing
The permission to translate the original English UEFI into Chinese was obtained from the authors of the UEFI. Forward and backward translation and cross-cultural adaptation of the UEFI were performed in accordance with the international guidelines proposed by Beaton et al. (26 (link)), which comprise five steps (Figure 1). A panel of six experts was assembled, including two physiotherapists with more than 15 years of clinical experience in stroke rehabilitation, two nurses with more than 10 years of clinical experience and two healthcare professionals. The expert panel rated the experiential, conceptual, semantic, and idiomatic equivalence of each UEFI item using a 4-point Likert scale rating: 1 = not relevant, 2 = somewhat relevant, 3 = quite relevant and 4 = highly relevant. Ratings of 3 or 4 were dichotomised as relevant and 1 or 2 as irrelevant. Among the 15 items, item 7 of the UEFI (driving) was modified into “use of upper limbs in manipulating the shopping cart to buy commodities in the store” for the C-UEFI because it is uncommon for people living in Hong Kong to own a private vehicle.
The pilot C-UEFI was then produced and tested on 10 people with chronic stroke and five healthy controls. All 15 pilot trial participants agreed that the pilot version was fluent, clear, and comprehensible. After the pilot study, no further revision was needed, and the final C-UEFI was established. Finally, we tested the psychometric properties of the C-UEFI.
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Publication 2023
Acclimatization CART protein, human Cerebrovascular Accident Chinese Health Care Professionals Nurses Physical Therapist Psychometrics Stroke Rehabilitation Upper Extremity
An US device probe (Vscan with Dual Probe, GE Healthcare, Tokyo, Japan) was used to obtain ultrasound images of the thigh muscles, including the rectus femoris and vastus intermedius (Fig. 1). The device was equipped with both a phased-array cardiac probe with a bandwidth of 1.7–3.8 MHz and a field of view of 70° and a linear vascular probe with a bandwidth 3.3–8.0 MHz, an aperture of 2.9 cm, and a maximum scanning depth of 8 cm.
Each participant was scanned in a relaxed supine position. The examiner placed the probe on the anterior aspect of the thigh, perpendicular to its long axis at a point midway between the anterior superior iliac spine and the proximal end of the patella according to a previous study.9 (link)) The examiner identified the subcutaneous adipose tissue, rectus femoris, vastus intermedius, and the femur. Excess gel was applied to the skin to minimize distortion. Three examiners performed image acquisition to investigate inter- and intra-rater reliabilities on the dominant limb. Among the three examiners, two were physicians and one was a physiotherapist. The examiners were specialists who had conducted evaluations using US in a clinical setting for at least 3 years. Furthermore, each examiner had received training from an experienced musculoskeletal sonographer (R.H.). All trials by the three examiners in the present study were conducted independently within 2 h of the first examination to avoid fluctuations in the measurement and analysis of muscle parameters. On the US device screen, the cursor was used to mark the top border of the rectus femoris and the bottom border of the vastus intermedius. This allowed the instrument to calculate the muscle thickness as the sum of the muscle thickness of the rectus femoris and vastus intermedius. Each examiner performed three measurements to allow assessment of intra-rater reliability. After each investigation, the participant was returned to the initial position and the skin was cleaned to remove any gel or markings. This ensured that each image and dataset were acquired independently with reduced risk of measurement bias, such as anchoring.
Publication 2023
Blood Vessel Epistropheus Femur Heart Ilium Medical Devices Muscle Tissue Patella Physical Therapist Physicians Rectus Femoris Skin Specialists Subcutaneous Fat Thigh Ultrasonography Vastus Intermedius Vertebral Column

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More about "Physical Therapist"

Physical Therapists, also known as Physiotherapists, are essential healthcare professionals who specialize in the evaluation, diagnosis, and treatment of individuals with physical impairments, disabilities, or movement dysfunctions.
They utilize a wide range of evidence-based techniques, including exercise, manual therapy, modalities, and patient education, to help their clients improve mobility, reduce pain, restore function, and prevent future injuries.
These skilled clinicians design and implement personalized treatment plans to address the unique needs of each patient, collaborating with other healthcare providers to deliver comprehensive, patient-centered care.
They play a crucial role in helping individuals of all ages, from pediatric to geriatric populations, recover from injuries, manage chronic conditions, and enhance their overall quality of life.
Physical Therapists work across a diverse range of settings, including hospitals, clinics, schools, nursing homes, and private practices.
They may employ various assessment tools and software, such as GAITRite, SPSS (versions 22.0, 25, 21, and 24), Stata, SAS 9.4, and TKK 5401, to objectively measure and track patient progress.
By leveraging the power of data-driven research and AI-assisted platforms like PubCompare.ai, Physical Therapists can optimize their protocols, streamline their research, and make informed decisions to provide the most effective interventions for their clients.
Through their dedication and expertise, these healthcare professionals play a vital role in empowering individuals to achieve their rehabilitation goals and lead healthier, more fulfilling lives.