Chest physiotherapy for pneumonia in children: a systematic review

Abstract

(week 16). The Foundation Matrix is a battery of 10 multijoint functionally relevant Movement Control Tests used to evaluate movement efficiency and identify uncontrolled movement (UCM). The system reports the site (e.g. hip), direction (e.g. flexion) and threshold (low or high) of UCM. Low threshold refers to non-fatiguing, alignment and coordination impairments, and high threshold refers to strength and speed impairments The objective of this assessment tool is to inform the development of a specific retraining programme. The impaired movement control and uncontrolled movement was targeted in a tailored 16-week cognitive movement control retraining programme. The Faculty of Health Sciences, University of Southampton Ethics Committee, approved the study. Results: There was an increase in score for all 6 subscales of HAGOS: symptoms (61/100 pre, 96/100 post); pain (53/100 pre, 93/100 post); physical function (65/100 pre, 100/100 post); sport (56/100 pre, 100/100 post); physical activities (13/100 pre, 75/100 post); quality of life (32/100 pre, 85/100 post). Hip ROM improved for both passive (pre 78 degrees, post 116 degrees) and active movement (98 to 118 degrees). Workload increased from 4 to 18 hours a week. The Foundation Matrix score improved from 25/50 to 9/50 UCM impairments, percentage improvement ofUCMs at low threshold from 53% to 21% and high threshold 50% to 28%. Conclusion(s): A 16-week movement control retraining programme improved symptoms, activity limitations, participation restrictions and quality of life in an elite rower with persistent hip pain. Implications: This case study demonstrates proof of concept ofmovement control retraining as a potentially effective approach for the management of hip pain that has not responded to surgery for FAI and has implications for patients with symptoms associated with FAI.