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Pre-surgery physiotherapy and pain thresholds in patients with degenerative lumbar spine disorders

por Yvonne Lindbäck

Background: Patients scheduled for spinal surgery often experience long duration of pain, which may influence the pain-regulation system, function and health and have an impact on post-surgery outcome. Prehabilitation potentially augments functional capacity before surgery, which may have beneficial effects after surgery.Aim: The overall aim of the thesis is to study pre-surgery physiotherapy and somatosensory function in patients with degenerative lumbar spine disorders and to explore the patients’ experiences of pre-surgery physiotherapy.
Methods: Somatosensory function was measured with quantitative sensory testing (QST). Pre-surgery physiotherapy was evaluated with patient-reported outcome measures (n = 197). Patients’ experiences of how symptoms are explained and their experiences of the influences on back-related health after pre-surgery physiotherapy were explored.
Results: Half of the patients reported back or leg pain for more than 2 years. On a group level, the somatosensory profiles were within the reference range. On an individual level, an altered somatosensory profile was found in 23/105 patients, these were older, more often women, and reported higher pain, larger pain distribution and worse SF-36 MCS (mental health component summary). Patients with disc herniation, more sensitive to pressure pain in the hand presurgery, was associated with poorer function, self-efficacy, anxiety and depression score pre-surgery, worse function, self-efficacy and leg pain 3 months post-surgery and worse health related quality of life, self-efficacy, depression score 1 year postsurgery. The results for sensitivity for cold pain were similar, except that it even was associated with poorer function and pain 1 year post-surgery. The pre-surgery physiotherapy group had less back pain, better function, health, self-efficacy, fear avoidance score, depression score and physical activity level than the waiting-list group after the pre-surgery intervention. The effects were small. Both groups improved significantly after surgery, with no differences between groups, except that the higher physical activity level in the physiotherapy group remained at the 1-year follow-up. Only 58% of the patients reported a minimum of one visit for rehabilitation during the 1 year preceding the decision to undergo surgery. Patients experienced that pre-surgery physiotherapy had influenced symptoms, physical function, coping, well-being and social functioning to various degrees. Pre-surgery physiotherapy was experienced as a tool for reassurance and an opportunity to reflect about treatment and lifestyle. The patients mainly used biomedical explanatory models based on image reports to explain their backrelated symptoms. Both broader and more narrow, as well as lack of explanations of symptoms emerged. Further, wanting and sometimes struggling to be wellinformed about symptoms and interventions were described.
Conclusions: Being more sensitive to pressure- and cold pain in the hand, as a sign of widespread pain pre-surgery, was associated with poorer function, pain and health at post-surgery in patients with disc herniation. Pre-surgery physiotherapy decreased pain, fear avoidance, improved health related quality of life; and it decreased the risk of a worsening in psychological well-being before surgery. The improvements were small, and improvements after surgery were similar for both groups. At the 1-year follow-up, the physiotherapy group still had a higher activity level than the waiting list group. The pre-surgery physiotherapy was well tolerated. Patients’ reported experiences also illustrates the influence on function, pain and health. Patients experienced that pre-surgery physiotherapy provided reassurance and gave time to reflect on treatments and lifestyle. Symptoms were mainly described in line with a biomedical explanatory model. Those using a broader explanation were confident that physiotherapy and self-management could influence their back-related symptoms.

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Tidy's Physiotherapy E-Book: Edition 15

por Stuart Porter

A classic textbook and a student favourite, Tidy’s Physiotherapy aims to reflect contemporary practice of physiotherapy and can be used as a quick reference by the physiotherapy undergraduate for major problems that they may encounter throughout their study, or while on clinical placement. Tidy’s Physiotherapy is a resource which charts a range of popular subject areas. It also encourages the student to think about problem-solving and basic decision-making in a practice setting, presenting case studies to consolidate and apply learning. In this fifteenth edition, new chapters have been added and previous chapters withdrawn, continuing its reflection of contemporary education and practice. Chapters have again been written by experts who come from a wide range of clinical and academic backgrounds. The new edition is complemented by an accompanying online ancillary which offers access to over 50 video clips on musculoskeletal tests, massage and exercise and an image bank along with the addition of crosswords and MCQs for self-assessment.
Now with new chapters on:
ReflectionCollaborative health and social care / interprofessional educationClinical leadershipPharmacologyMuscle imbalanceSports managementAcupuncture in physiotherapyManagement of Parkinson’s and of older peopleNeurodynamics Part of the Physiotherapy Essentials series – core textbooks for both students and lecturers!
Covers a comprehensive range of clinical, academic and professional subjectsAnnotated illustrations to simplify learningDefinition, Key Point and Weblink boxesOnline access to over 50 video clips and 100’s of dowloadable images (http://evolve.elsevier.com/Porter/Tidy)Online resources via Evolve Learning with video clips, image bank, crosswords and MCQs! Log on and register at http://evolve.elsevier.com/Porter/TidyCase studiesAdditional illustrations

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Essentials of Orthopaedics & Applied Physiotherapy - E-Book: Edition 3

por Jayant Joshi

Essentials of Orthopaedics & Applied Physiotherapy - E-Book

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Clinical Case Studies in Physiotherapy E-Book: A Guide for Students and Graduates

por Lauren Jean Guthrie

Starting a placement or rotation in an unfamiliar clinical area is exciting but can be daunting. CLINICAL CASE STUDIES IN PHYSIOTHERAPY provides invaluable advice and practical guidance on cases and problems encountered on a daily basis allowing you to work with ease and confidence. By adopting a problem solving approach to the cases through the use of questions and answers, the authors will help you to think constructively about each case within all the key specialities of physiotherapy.

Starting a placement or rotation in an unfamiliar clinical area is exciting but can be daunting. CLINICAL CASE STUDIES IN PHYSIOTHERAPY provides invaluable advice and practical guidance on cases and problems encountered on a daily basis allowing you to work with ease and confidence. By adopting a problem solving approach to the cases through the use of questions and answers, the authors will help you to think constructively about each case within all the key specialities of physiotherapy. Hints and tips to get you ready for clinical placementHow to secure your first physiotherapy postCase studies in the following clinical areas: respiratory, orthopaedics, neurology, musculoskeletal out-patients, care of the elderly, mental health and womens healthCases covering paediatrics also included

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The Student's Companion to Physiotherapy E-Book: A Survival Guide

por Nick Southorn

The Student's Companion to Physiotherapy is a comprehensive guide to help ease the stresses and strains of studying physiotherapy. It puts a lighter spin on a very challenging time but is very informative, identifying the vital facts in anatomy and physiology; neurological physiotherapy; electrotherapy; respiratory physiotherapy; musculoskeletal physiotherapy; pharmacology; bio-psychosocial approach; paediatrics; portfolio development; and methods of work/assessment. The content here is orchestrated by students wanting to share their knowledge with fellow students and this book will be a trusty companion for all budding physiotherapists.Offers students unique learning and study skills needed for physiotherapy
Specifies useful ways to study and offers advice on portfolio development and communication as a clinician
Anecdotes, "top tips" boxes and cartoons
Handy hints on portfolio development, research and job applications

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Practical Evidence-Based Physiotherapy - E-Book: Edition 2

por Robert Herbert


Evidence-based practice has become a central part of physiotherapy today, but it is still an area which is constantly expanding and being updated. Written by an international team of experts, this second edition continues to outline the basic definitions of evidence-based practice and clinical reasoning, while detailing how to find and critically appraise evidence and clinical practice guidelines and the steps to follow in the implementation and evaluation of evidence. For those struggling to understand both the concepts and how to implement them, this book will prove to be an invaluable and practical guide.
Considers how both quantitative and qualitative research can be used to answer clinical questionsWritten for readers with different levels of expertise Highlighted critical points and text box summaries (basic)Detailed explanations in text (intermediate)Footnotes (advanced)Presents detailed strategies for searching physiotherapy-relevant databasesExtensive consideration of clinical practice guidelinesChapter asking the question: When and how should new therapies be introduced into clinical practice?Search strategiesEvaluating quality of interventionsPlacebo effectsMeta-regression

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Cardiorespiratory Physiotherapy: Adults and Paediatrics E-Book: formerly Physiotherapy for Respiratory and Cardiac Problems, Edition 5

por Eleanor Main

The fifth edition of this seminal textbook continues to provide those who are studying or are in practice with comprehensive evidence-based coverage of all the main aspects of respiratory and cardiac physiotherapy throughout the whole lifespan – neonates, infants, children, adolescents and adults – with the patient at centre and advocating a problem-based approach. For the new edition, Jennifer Pryor and Ammani Prasad hand the baton of editorship and their lasting legacy over to Eleanor Main and Linda Denehy. With a team of over 60 international expert authors, the new editors have incorporated major changes reflecting current cardiorespiratory physiotherapy education and practice. These changes are heralded by a new title – Cardiorespiratory Physiotherapy: Adults and Paediatrics (formerly Physiotherapy for Respiratory and Cardiac Problems: Adults and Paediatrics) – and a significant restructure of the content with a new set of chapters.
A new key chapter on anatomy and physiology of the respiratory system lays the foundation which is then followed by a chapter on clinical assessment of adults, infants and children, and acutely ill or deteriorating patients. Additional new content includes a chapter on outcome measurement in practice and a large chapter describing rehabilitation in acute and chronic conditions in special populations including spinal cord injury, oncology, trauma and paediatrics. The chapter on therapeutic interventions is comprehensive and reflective of evidence based practice.
Integrates evidence with clinical practiceCase studies used to facilitate problem solvingBoxes throughout highlighting key issues and pointsEmphasizes the need for a holistic approach to patient careBank of 350 images on Evolve Resources. Log on to https://evolve.elsevier.com/Main/cardiorespiratory and register to access. Newly appointed editors – Eleanor Main (UK) and Linda Denehy (Australia)Content restructure and overhaul with contributions from over 60 world leading expertsChapters on: Anatomy and physiology of the respiratory systemClinical assessment of the adult, infant/child and the acutely ill/deteriorating patientOutcome measurement in practiceTherapeutic interventionsManaging special populationsOver 180 new figures including additional full-colour photographs

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Physiotherapy in Mental Health and Psychiatry E-Book: a scientific and clinical based approach

por Michel Probst

A brand new and must have textbook for the students and practising physiotherapists which acts as a trusted guide on the different perspectives, contexts and approaches across the spectrum of mental health and psychiatry settings. Grounded in theory and clinical practice, it covers a range of widely-used evaluation tools and treatment methods for specific syndromes and pathologies which will help physiotherapists to signpost and identify the care needs of their patients within both individual and group therapeutic settings. Case studies ensure that the theory discussed is applied to various practical scenarios after which reflective exercises are used to reinforce learning and understanding. First internationally-relevant textbook for physiotherapists covering a range of mental health and psychiatry settingsIdeal confidence booster for both students and practitioners new to the subjectContributed by world-leading academics, clinicians and researchers in the fieldAdvocates a scientific and clinical based approach with patient at centreConcepts applied to practice with case studiesMulti-perspective views and approaches to human movement and function In-text reflective learning exercises

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Animal Physiotherapy: Assessment, Treatment and Rehabilitation of Animals, Edition 2

por Catherine McGowan

A thoroughly updated edition of this essential reference guide for physiotherapists and physical therapists, looking to apply the proven benefits of physiotherapy to the treatment of companion and performance animals.
Seven new chapters provide greatly expanded coverage of practical treatment and rehabilitation Includes reviews of different physiotherapy techniques, drawing on both human and animal literature Discusses approaches in small animal medicine as well as for elite equine athletes Provides applied evidence-based clinical reasoning model, with case examples Now in full colour with many more illustrations

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Neurological Physiotherapy Pocketbook E-Book: Edition 2

por Sheila Lennon

The second edition of the Neurological Physiotherapy Pocketbook is the only book for physiotherapists that provides essential evidence-based information in a unique and easy-to-use format, applicable to clinical settings. Written by new international editors and contributors, this pocketbook provides quick and easy access to essential clinical information.
Pocketbook size for when out on clinical placement or working in clinical practice
Revised and brand new chapters on neurological rehabilitation and essential components
Concentrates on the six most common conditions: including stroke, traumatic brain, and spinal cord injury
Key messages highlighted for assessment, treatment, and measurement of the most common neurological conditions

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PHYSICAL THERAPY - Batten Disease Support and ...

If not, reconsider the therapy and replace with enjoyable activities. The topic of pain in regards to children will be discussed later in this book. G. How long ...
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Text Book List for Bachelor of Physiotherapy - NET

Text Book List for Bachelor of Physiotherapy. There are no required text books for this programme, however we strongly recommend that you have access to the ...
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List of Medical and Physical Therapy Books: Simple Guide to ...

of Muscle Physiology for Sport, Exercise and Physiotherapy ... III. Basic Sciences of Physical Therapy: ➢ Biomechanics: Books. Category #. Library.
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MPT booklist 2016-17

**Indicates the book is listed as a Key References for the Physiotherapy Competency. Exam PT 1 courses begin with #6; PT 2 courses begin ...
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MSc Veterinary Physiotherapy - Writtle University College

The Budras anatomy books are the ones recommended by the National Association of Veterinary Physiotherapists although we have found.
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Tidy Physiotherapy 11 Edition - Tellabs

Porter - Google Books. Description A classic textbook and a student favourite, Tidy's Physiotherapy aims to reflect contemporary practice of physiotherapy and ...
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Physical Therapist Assistant Text Books for the 2021-2022 ...

Text Books for the 2021-2022 Courses. Rev:6/21. Course Name. Title of Book. ISBN#. Author. Publisher. Est. Price. PTA 1013 Introduction to. Physical Therapy.
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LIST OF BOOKS: - Sumy State University

This book is every Physical Therapy Students Bible. ... Combined with other books in the Musculoskeletal Rehabilitation series - Pathology and Intervention,.
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[Book] Physiotherapy Textbooks

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