Effectiveness Of Physiotherapy Interventions Research Articles

Integrating lifestyle modifications with physiotherapy: Evaluating the role of nutrition and psychological interventions in recovery

Physiotherapy is widely recognized for its role in rehabilitating musculoskeletal and chronic conditions through physical interventions. However, emerging evidence highlights the importance of lifestyle modifications, particularly dietary changes and psychological support, in enhancing treatment outcomes. This review evaluates the influence of such modifications on the effectiveness of physiotherapy interventions. By synthesizing literature on the integration of nutritional strategies, such as increased intake of anti-inflammatory nutrients, and psychological interventions like cognitive-behavioral therapy (CBT) and mindfulness, the study examines their impact on recovery rates, pain levels, and overall treatment success. Results indicate that dietary changes, including omega-3 fatty acids and antioxidants, promote tissue repair and reduce inflammation, while psychological support improves pain management, patient adherence, and functional recovery. The findings suggest that a holistic approach, incorporating both dietary and psychological elements into physiotherapy, can optimize patient outcomes. Future research should focus on standardized protocols to integrate these lifestyle factors with physiotherapy for sustained rehabilitation success.

The effect of physiotherapy intervention on functional outcomes among COVID-19 patients: Clinical experimental study.

COVID-19 is a highly contagious virus that causes pneumonia, which quickly progresses to acute respiratory distress. In the case of COVID-19, physiotherapy is critical in non-invasive support management, postural changes, chest physiotherapy (CPT), and bed mobility. This study aims to look into the effects of physiotherapy intervention on functional outcome levels in COVID-19 patients in the acute stage. A total of 60 severe COVID-19 patients (54 males and 6 females) with a mean age of 50years were studied. The intervention group (n=30) had two daily physiotherapy sessions that included positioning, CPT, cardio exercises, breathing exercises, and early mobility, whereas the control group (n=30) received only standard medical care. Patients were tested twice at the baseline and discharge using peripheral oxygen saturation, respiratory rate (RR) test, dyspnea rate, two-min walk test, and spirometer scores, forced vital capacity (FVC) and forced expiratory volume in one second (FEV1). The two groups improved significantly between the baseline and discharge ratings. The intervention group, on the other hand, significantly improved all outcome indicators at discharge (p-value=0.00). This study found that physiotherapy management improved oxygen saturation, RR, dyspnea, and lung function tests in COVID-19 patients except in FVC (p-value=0.402) and FEV1(p-value=0.114). Physiotherapist interventions with COVID-19 patients increase respiratory function and treatment time.

227 - The effects of physiotherapy interventions in the treatment of genito-pelvic pain or penetration disorder: a systematic review

227 - The effects of physiotherapy interventions in the treatment of genito-pelvic pain or penetration disorder: a systematic review

Effects of Physiotherapy Interventions (Exercise Therapy and Electrotherapy) on Knee Osteoarthritis in Patients with Different Pain Intensity Categories

Effects of Physiotherapy Interventions (Exercise Therapy and Electrotherapy) on Knee Osteoarthritis in Patients with Different Pain Intensity Categories

Physical therapy for the management of global function, fatigue and quality of life in amyotrophic lateral sclerosis: systematic review and meta-analyses.

To critically evaluate the effectiveness of physical therapy interventions in improving global function, quality of life and fatigue in individuals with amyotrophic lateral sclerosis (ALS). Systematic review and meta-analyses. MEDLINE, EMBASE, Cochrane Library (CENTRAL) and Physiotherapy Evidence Database (PEDro) were searched through 31 January 2023. We included randomised clinical trials (RCTs) that compared physical therapy interventions that act on global function, fatigue and quality of life in individuals with ALS with any other non-physiotherapeutic methods and techniques, placebo or non-intervention. The primary outcome measure was the evaluation of global function. Secondary outcomes were quality of life, fatigue and adverse events. Two independent authors used a researcher-developed extraction form and the Rayyan software to search, screen and code included studies. The risk of bias was assessed using the PEDro scale. Meta-analyses were conducted employing random effects. Outcomes were succinctly presented in Grading of Recommendations, Assessment, Development and Evaluation evidence profiles. Our searches identified 39 415 references. After study selection, three studies were included in the review. Such studies involved 62 participants with a mean age of 54.6 years. In the evaluated trials, 40 were male, while 22 participants were female. Regarding the type of onset of the disease, 58 participants had spinal onset of ALS, and four had bulbar. Physical therapy intervention may improve the global function of individuals with ALS in the short term; however, clinically, it was inconclusive. In terms of quality of life and fatigue, physical therapy intervention is not more effective than control in the short term. Adverse events are not increased by physical therapy intervention in the short term. Due to significant methodological flaws, small sample sizes, wide CIs and clinical interpretation, our confidence in the effect estimate is limited. CRD42021251350.

Impact of Remedial Exercise Training on Work-Related Musculoskeletal Morbidity Among Handloom Weavers in Kanchipuram District: A Quasi-experimental Study.

The handloom weaving industry is integral to developing countries, especially in South Asia, where traditional techniques are still widely practiced. In India, the handloom sector is a significant part of the informal economy, employing millions and preserving rich cultural heritage. Despite its economic and cultural importance, the sector faces severe challenges, including poor working conditions that lead to a high prevalence of work-related musculoskeletal disorders (WMSDs). This study focuses on assessing the prevalence of musculoskeletal morbidity and the effectiveness of physiotherapy interventions in reducing WMSDs among handloom weavers in Kanchipuram, Tamil Nadu. This quasi-experimental study utilized a pre- and post-test design conducted over 12 months. A total of 121 handloom weavers from four major cooperative societies in Kanchipuram were selected using multistage sampling. Inclusion criteria were adults over 18 years, full-time weavers with more than a year of experience, and those who consented to participate. The study involved initial data collection through interviews using a pre-tested semi-structured questionnaire and the Standardized Nordic Musculoskeletal Questionnaire to assess pain prevalence. The intervention phase included physiotherapy exercise training thrice a week for three months, followed by post-intervention data collection and analysis. Pre-intervention data indicated high prevalence rates of musculoskeletal pain, with 62% of participants reporting knee pain and 54.5% reporting ankle/foot pain over the past year. Post-intervention assessments showed significant reductions in pain across all body parts, with the most substantial decreases in knee and shoulder pain. For instance, knee pain scores decreased from 3.10 ± 2.61 to 1.81 ± 1.69. The overall mean pain rating significantly dropped from 1.72 ± 0.88 pre-intervention to 1.00 ± 0.50 post-intervention, demonstrating the effectiveness of the physiotherapy exercises. The study confirms the high prevalence of musculoskeletal disorders (MSDs) among handloom weavers and demonstrates the significant impact of physiotherapy interventions in alleviating pain. Implementing regular physiotherapy exercises can substantially improve the well-being and productivity of handloom weavers, ensuring the sustainability of this vital cultural and economic industry. The results advocate for policy changes and increased support for ergonomic and health interventions in the handloom sector.

The Effectiveness of Physical Therapy Interventions in Management of Diastasis Recti in Postpartum Females: A Narrative Review

Diastasis recti is a condition caused by increased intra-abdominal pressure which causes the linea alba to stretch resulting in a wider inter-rectus gap. It is most common after pregnancy but can also be caused by obesity or previous abdominal procedures. Research shows myofascial laxity affecting the entire front abdominal wall. Postpartum women have a doubling of the interrectus distance and pregnancy affects abdominal muscle strength with nulliparous women having a higher number of trunk flexors and rotators [1]. DRA is mostly treated conservatively. Patients referred to a physiotherapist receive training programmes that specifically target reducing IRD. Some studies recommend training with physiotherapist, while others let patients train on their own. Recommended frequency of training sessions varied from one to five sessions per week. The exercise interventions consist of the following: Core trainings, Breathing technique and Mindfulness teaching. This study aims to find out the effectiveness of different physical therapy interventions in the treatment of diastasis recti abdominis. The condition of diastasis recti abdominis has prevalence in postpartum females and it is important to address this for the welfare of women and required to explore the best physical therapy treatment available.

Effectiveness of physiotherapy interventions in managing physical and psychological outcomes among refugees: A systematic review

Effectiveness of physiotherapy interventions in managing physical and psychological outcomes among refugees: A systematic review

Physical Therapy Intervention Effects on Alteration of Spinal Excitability in Patients With Chronic Ankle Instability: A Systematic Review and Meta-analysis.

Chronic ankle instability (CAI) is a common injury in athletes. Different forms of physical therapy have been applied to the population with CAI to assess their impact on spinal excitability. The purpose of this systematic review and meta-analysis was to investigate the effectiveness of various physical therapy interventions on the alteration of spinal excitability in patients with CAI. Four databases (EMBASE, MEDLINE, Cochrane CENTRAL, and Scopus) were searched from inception to November 2022. A total of 253 studies were obtained and screened; 11 studies on the effects of physical therapy intervention on the alteration of spinal excitability in patients with CAI were identified for meta-analysis. Systematic review and meta-analysis. Level 3a. A total of 11 studies that included the maximal Hoffmann reflex normalized by the maximal muscle response (H/M ratio) in the peroneus longus and soleus muscles were extracted and summarized. The quality of the studies was assessed using the PEDro scale. The extracted studies had an average PEDro score of 4.7 ± 1.4, indicating that most of them had fair-to-good quality. The physical therapy interventions included cryotherapy, taping, mobilization, proprioceptive training, and dry needling. The overall effects showed that the H/M ratios of the peroneus longus (P = 0.44, I2 = 0%) and soleus (P = 0.56,I2 = 22%) muscles were not changed by physical therapy in patients with CAI. The meta-analysis indicated that physical therapy interventions such as cryotherapy, taping, mobilization, proprioceptive training, and dry needling do not alter the spinal excitability in patients with CAI. Given that only 1 study reported ineffective changes in spinal excitability with dry needling, more research is essential to establish and validate its efficacy. CRD42022372998.

Effectiveness of Physiotherapy Interventions in Pleural Effusion Patients: A Comprehensive Review

Effectiveness of Physiotherapy Interventions in Pleural Effusion Patients: A Comprehensive Review

Which Portion of Physiotherapy Treatments' Effect Is Not Attributable to the Specific Effects in People With Musculoskeletal Pain? A Meta-Analysis of Randomized Placebo-Controlled Trials.

OBJECTIVE: We aimed to quantify the proportion not attributable to the specific effects (PCE) of physical therapy interventions for musculoskeletal pain. DESIGN: Intervention systematic review with meta-analysis. LITERATURE SEARCH: We searched Ovid, MEDLINE, EMBASE, CINAHL, Scopus, PEDro, Cochrane Controlled Trials Registry, and SPORTDiscus databases from inception to April 2023. STUDY SELECTION CRITERIA: Randomized placebo-controlled trials evaluating the effect of physical therapy interventions on musculoskeletal pain. DATA SYNTHESIS: Risk of bias was evaluated using the Cochrane risk-of-bias tool for randomized trials (RoB 2). The proportion of physical therapy interventions effect that was not explained by the specific effect of the intervention was calculated, using the proportion not attributable to the specific effects (PCE) metric, and a quantitative summary of the data from the studies was conducted using the random-effects inverse-variance model (Hartung-Knapp-Sidik-Jonkman method). RESULTS: Sixty-eight studies were included in the systematic review (participants: n = 5238), and 54 placebo-controlled trials informed our meta-analysis (participants: n = 3793). Physical therapy interventions included soft tissue techniques, mobilization, manipulation, taping, exercise therapy, and dry needling. Placebo interventions included manual, nonmanual interventions, or both. The proportion not attributable to the specific effects of mobilization accounted for 88% of the immediate overall treatment effect for pain intensity (PCE = 0.88, 95% confidence interval [CI]: 0.57, 1.20). In exercise therapy, this proportion accounted for 46% of the overall treatment effect for pain intensity (PCE = 0.46, 95% CI: 0.41, 0.52). The PCE in manipulation excelled in short-term pain relief (PCE = 0.81, 95% CI: 0.62, 1.01) and in mobilization in long-term effects (PCE = 0.86, 95% CI: 0.76, 0.96). In taping, the PCE accounted for 64% of disability improvement (PCE = 0.64, 95% CI: 0.48, 0.80). CONCLUSION: The outcomes of physical therapy interventions for musculoskeletal pain were significantly influenced by factors not attributable to the specific effects of the interventions. Boosting these factors consciously to enhance therapeutic outcomes represents an ethical opportunity that could benefit patients. J Orthop Sports Phys Ther 2024;54(6):391-399. Epub 11 April 2024. doi:10.2519/jospt.2024.12126.

The Effectiveness of Physical Therapy Interventions for Spondylolisthesis in Adults: A Systematic Review of Randomized Controlled Trials

The Effectiveness of Physical Therapy Interventions for Spondylolisthesis in Adults: A Systematic Review of Randomized Controlled Trials

The effectiveness of physical therapy intervention on the quality of life in obese children and adolescents

Introduction: Physical inactivity and a sedentary lifestyle are directly linked to childhood obesity. Bad eating habits and genetic predisposition are possible factors related to its appearance. Childhood obesity has tripled in the last 3 decades. More than 340 million children worldwide are categorized as overweight or obese Childhood obesity can affect the self-esteem of young obese individuals and lead to long-term serious psychological and social consequences. Purpose: The purpose of this bibliographical review is to highlight the physical therapy intervention in the quality of life in obese children and adolescents and its interaction with other therapeutic interventions. Methodology: The search was done in MEDLINE / Pubmed, Cochrane, Embase, Scopus Studies had to be clinical studies and refer to quality of life and the use of physical therapy in obese children and adolescents. Based on the above criteria, 18 articles emerged and after applying the selection criteria, 4 articles were selected. Discussion – Conclusion: Physical therapy with therapeutic exercise programs can be a key factor in improving the respiratory function and quality of life of people suffering from obesity. Physical therapists currently provide little input into the management of children who are overweight or obese, despite having a skill set appropriate for working with this population. Physiotherapy helps to support the mobility of obese children by increasing their physical health and quality of life. There is little detail about how to get obese children "physically active" in a way that is appropriate for their development and ability.

POST-OPERATIVE REHABILITATION OF A RIGHT SIDED TOTAL KNEE ARTHROPLASTY PATIENT- A CASE REPORT

Background and purpose:Osteoarthritis(OA) is a progressive degenerative condition resulting from the cartilage wear and tear that leads to knee joint deformities and functional limitations. Total knee arthroplasty (TKA) has become the gold standard treatment for surgically managing knee osteoarthritis, but physical rehabilitation after surgery is critical for returning function to pre-surgery levels. The purpose of this case report is to describe the effectiveness of physical therapy intervention and report outcomes following a right TKA. Case Description:The present case report describes the 12-week outpatient physical therapy rehabilitation of an 86-year-old woman who underwent right-sided TKA. She suffered from knee pain and limited ambulating speed since three years. During outpatient rehabilitation patient received treatment for improving functional mobility, ROM, strength, and gait training. Outcomes:During course of 12 weeks of physical therapy rehabilitation improvement was seen in pain from 2/10 to 0/10 on NPRS, flexion ROM from 110degrees to 130 and strength from 3-/5 to 4/5 on MMT. Additional outcome measures that showed improvement includes Time Up and Go Test (TUG) for mobility from 16.5 to 14.97 seconds and gait speed 0.6 m/s to 0.78 m/s. She was able to accomplish both short-term and long-term goals. Discussion:This study supports that early mobilization and therapeutic exercises in post knee arthroplasty can improve functional outcomes and help patient to return to the prior level of function. Although, it is recommended that further research is needed to be done on a larger population to establish its effectiveness.

Functional Task Performance and Patient Satisfaction in Lateral Epicondylitis: Unraveling the Effects of Physical Therapy Interventions

Functional Task Performance and Patient Satisfaction in Lateral Epicondylitis: Unraveling the Effects of Physical Therapy Interventions

Action Observation and Motor Imagery as a Treatment in Patients with Parkinson's Disease.

Action observation (AO) and motor imagery (MI) has emerged as promising tool for physiotherapy intervention in Parkinson's disease (PD). This narrative review summarizes why, how, and when applying AO and MI training in individual with PD. We report the neural underpinning of AO and MI and their effects on motor learning. We examine the characteristics and the current evidence regarding the effectiveness of physiotherapy interventions and we provide suggestions about their implementation with technologies. Neurophysiological data suggest a substantial correct activation of brain networks underlying AO and MI in people with PD, although the occurrence of compensatory mechanisms has been documented. Regarding the efficacy of training, in general evidence indicates that both these techniques improve mobility and functional activities in PD. However, these findings should be interpreted with caution due to variety of the study designs, training characteristics, and the modalities in which AO and MI were applied. Finally, results on long-term effects are still uncertain. Several elements should be considered to optimize the use of AO and MI in clinical setting, such as the selection of the task, the imagery or the video perspectives, the modalities of training. However, a comprehensive individual assessment, including motor and cognitive abilities, is essential to select which between AO and MI suite the best to each PD patients. Much unrealized potential exists for the use AO and MI training to provide personalized intervention aimed at fostering motor learning in both the clinic and home setting.

Effectiveness of Physiotherapy Intervention in Meralgia Paresthetica in Females: A Literature Review

Effectiveness of Physiotherapy Intervention in Meralgia Paresthetica in Females: A Literature Review

Effectiveness of Physiotherapy Intervention following ACL Reconstruction of Grade 3 ACL Tear: A Case Report

Effectiveness of Physiotherapy Intervention following ACL Reconstruction of Grade 3 ACL Tear: A Case Report

The Effectiveness of Physical Therapy Intervention in a Seven-Year-Old Child With Congenital Talipes Equinovarus: A Case Report

The Effectiveness of Physical Therapy Intervention in a Seven-Year-Old Child With Congenital Talipes Equinovarus: A Case Report

Mobility Rehab visual feedback system for gait rehabilitation in older adults

BackgroundGait and balance impairments are among the main causes of falls in older adults. The feasibility and effectiveness of adding sensor-based feedback to physical therapy (PT) in an outpatient PT setting is unknown. We evaluated the feasibility and effectiveness of PT intervention combined with a therapist-assisted visual feedback system, called Mobility Rehab, (PT + MR) in older adults.MethodsTwenty-eight older adults with and without neurological diseases were assigned either PT + MR (n = 22) or PT alone (n = 6). Both groups performed 8 sessions (individualized) of 45 min long (30 min for gait training and 15 min for endurance, strength, and balance exercises) in an outpatient clinic. Mobility Rehab uses unobtrusive, inertial sensors on both wrists and feet, and at the sternum level with real-time algorithms to provide real-time feedback on five gait metrics (step duration, stride length, elevation at mid-swing, arm swing range-of-motion [ROM], and trunk coronal ROM), which are displayed on a tablet. The primary outcome was the Activities-specific Balance Confidence scale (ABC). The secondary outcome was gait speed measured with wearable inertial sensors during 2 min of walking.ResultsThere were no between-group differences at baseline for any variable (P > 0.05). Neither PT + MR nor PT alone showed significant changes on the ABC scores. PT + MR, but not PT alone, showed significant improvements in gait speed and arm swing ROM. The system was evaluated as ‘easy to use’ by the PT.ConclusionsOur preliminary results show that PT + MR improves gait speed in older adults with and without neurological diseases in an outpatient clinic.Clinical Trial Registrationwww.ClinicalTrials.gov, identifier: NCT03869879.