In Patient Physiotherapy

This book will provide all junior physiotherapists with the skills necessary to begin their clinical work with patients who have just undergone orthopaedic surgery. This book: * is thoroughly researched and well referenced providing you with all the evidence upon which to build your treatments and protocols * is very practical and has a step-by-step approach showing you how to plan your treatment regimes for your patients * will show you how to select the best treatment options * is well illustrated with clear diagrams and pictures explaining the points made in the text * will assist you and help you to develop your practical skills in addition to your clinical reasoning skills and your orthopaedic knowledge base An essential text for those just beginning their clinical experience whether a student or newly qualified physiotherapist. * Covers the essential in-patient physiotherapy management of common surgical orthopaedic conditions * Assists students with their practical skills in addition to their clinical reasoning skills and their orthopaedic knowledge base * Very practical in its approach and steps students through procedures that are commonplace and routine for more qualified physiotherapists

This exciting new resource is designed to assist undergraduate physiotherapy students and new graduates in confidently assessing patients in a range of physiotherapy specialties outside of the ‘core’ areas of practice. Areas covered include paediatrics, geriatrics, mental health and rheumatology. Valuable content is easily accessible in a small portable format which will be an invaluable reference during placements or practice. Each chapter provides a concise overview of the philosophy and the specific assessment processes for each of the 17 practice specialties. A wealth of online learning resources are also available with the Guide, these include access to case studies, multiple-choice questions and a reference list for each chapter. In addition there is a bank of downloadable photographs and line drawings relating to each of the 17 chapters. Used along with The Concise Guide to Physiotherapy: Volume 2 Treatment, Volume 1 Assessment will be an indispensable tool for any physiotherapist. A blend of resources providing an insight into the ‘non core’ areas of practice, enabling the individual to prepare ahead or refresh knowledge in order to feel confident about approaching the assessment of patients in practice areas not previously encountered. Easy access to nuggets of information on 17 ‘non core’ speciality areas, including burns and plastics, learning disabilities and rehabilitation A handy quick reference tool for both students and physiotherapists Access to online resources including, reference lists, an image bank, 51 cases studies and over 300 MCQs!

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.

Practical and solution-oriented, this book presents a synopsis of the majority of issues faced in the on-call setting, including communication, assessment of the patient, problem identification, and treatment. The content addresses issues that are both common and unusual, preparing the reader for any type of situation. The text is presented mostly in lists and bullet-point format, as well as in diagrams and algorithms, designed to fit with the UK National Assessment tool and Phase 2 of the national testing program launched in 2002. Because of its thorough and comprehensive coverage, this resource is expected to become a standard for academic courses and a helpful reference for practitioners, with its efficient and easy-to-read design. Information meets a current anxiety among all physiotherapists. Its list and table format makes it easy to use and refer to in an emergency. Material addresses all emergency situations a physiotherapist is likely to have to deal with, as well as less common issues. Text is edited by the leader of the UK national review of the subject (supported by the CSP). Specialist contributions from the leaders in their clinical areas lend credibility to the book. Facts and easy-to-access information make it perfect for quick review.

Extensively illustrated and evidence based, Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines helps you effectively diagnose and manage musculoskeletal pain. It discusses diagnostic categories and their associated muscle and movement imbalances, and makes recommendations for treatment. Also covered is the examination itself, plus exercise principles, specific corrective exercises, and the modification of functional activities. Case studies provide examples of clinical reasoning, and a companion Evolve website includes video clips of tests and procedures. Written and edited by the leading experts on muscle and movement, Shirley Sahrmann and associates, this book is a companion to the popular Diagnosis and Treatment of Movement Impairment Syndromes. An organized and structured method helps you make sound decisions in analyzing the mechanical cause of movement impairment syndromes, determining the contributing factors, and planning a strategy for management. Detailed, yet clear explanations of examination, exercise principles, specific corrective exercises, and modification of functional activities for case management provide the tools you need to identify movement imbalances, establish the relevant diagnosis, and develop the corrective exercise prescription. Case studies illustrate the clinical reasoning used in managing musculoskeletal pain. Evidence-based research supports the procedures covered in the text. Over 360 full-color illustrations -- plus tables and summary boxes -- highlight essential concepts and procedures. A companion Evolve website includes video clips demonstrating the tests and procedures and printable grids from the book.

Trauma is a serious public health problem worldwide and is the leading cause of death among adults and children. Physiotherapists play a key role in the interdisciplinary team caring for patients with physical injury after a traumatic event. The aim of Cardiopulmonary Physiotherapy in Trauma: An Evidence-based Approach is to encourage quality evidence-based physiotherapy management of adult and paediatric survivors of trauma in an acute care setting on a global level.The first edition of the book was written by South African physiotherapy academics and clinical physiotherapists with expertise in trauma care. This new edition involves the South African writers from the first edition as well as a team of international experts in trauma care across health care disciplines (including surgeons, nurses, occupational therapists, dieticians, pain experts, and social workers). The information shared in the first edition has therefore been updated with more clinical expertise and the latest available evidence. The new content in this latest edition aims to make physiotherapists more aware of the importance of considering how pain influences patients' participation in therapy sessions, and of a team approach to patient care (e.g. managing pain and planning of care) to ensure the best possible outcomes for adult and paediatric patients with traumatic injury, at hospital discharge.

Physiotherapy in Mental Health: A Practical Approach provides a concise discussion of the concept of abnormal behavior. The title also covers the role of physiotherapy in dealing with mental problems. The first part of the text covers the basic aspects of physiotherapy in mental health setting; this part covers psychiatric illness; communication in the clinical mental health setting; and the evaluation of physiotherapy services in the mental health field. Next, the book covers the concerns of the practice of physiotherapy in mental health, such as challenging behaviors, stress management, and relaxation training. The last part covers the various aspects of psychiatric treatment, including child psychiatry, eating disorders, and substance abuse. The text will be of great use to physiotherapists in the mental health care setting. The book will also be interesting to readers who want to know how physiotherapy can be applied to improve the mental and social health of individuals.

Contrary to popular belief, practice of physiotherapy with elderly patients is no easy option. In addition to grappling with the effects of multipathology it presents problems of accommodating to the patients' altering physiological state and the accumulating life events of older age. There are challenges of ethics in decision making. In therapeutic management it is sometimes hard to know where to begin, what to try, and when to stop or offer something eise. The work offers both satisfaction and despair, frustration and enormous interest. Despite the existence of many specialist textbooks on medicine and physiotherapy, it is widely feit there is a place for a basic guide to physiotherapy with elderly people. This book aims to provide guidance and insights based on the writers' experience, as weil as from the current literature. Good practice must be holistic in its breadth of knowledge and attitude to the individual, but meticulous in attention to detail in examination and treatment as for a patient of any age.