Minimum Follow Up Of 12 Weeks

The purpose of this paper is to present an analysis of a quantitative article using Melnyk & Fineout-Overholt’s (2015) rapid critical appraisal (RCA) for a randomized clinical trial. Topics included are the validity of the research, results of the research and how the information can be applied to the clinical care of my own patient population.

The current review was managed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines (Moher et al., 2009) and established guidelines for narrative synthesis by Popay et al. (2006).

The primary outcome measure will be circumferential measurements of the lower extremity and secondary outcome measures will be quality of life and adherence. These measures will be taken one month before start of the study, post 4-weeks of treatment, and at a two month follow up. This research could provide evidence for the use of KT as an alternative treatment within CDT, or to enhance current CDT outcomes.

Interpretation of Results: Data from the study suggests that ambulation with the PBWS is a valid means for pain relief and functional improvement. Testing of larger groups with similar complaints of low back and leg pain is justified based on the positive results of the six patients who completed the study.

Treatment plan: Outpatient pain rehabilitation program. It also noted Subjectively; pain was described as a six on a scale of 1 to 10. Objectively, there was a documented Beck Depression Inventory (BDI) score of 19 and a documented Beck Anxiety Inventory (BAI) score of 22. The review denied Outpatient pain rehabilitation program. The patient is currently working 40 hours per week at her job. Medication and rest make the pain better, however, all her physical activities are limited. The pain is described as burning, sharp, and stabbing. Recommendation: Outpatient Medical Rehabilitation program • 10 sessions

Although NRS-11 pain measures are technically classified as ordinal measures, most studies using NRS-11 as an outcome measure utilize parametric tests and consider the measures as interval or ratio data rather than ordinal measures.27 Therefore, assuming homogenous variance and a normal distribution, a parametric 2-tailed mixed-ANCOVA will be used as the primary statistical analysis. Prior to

After 27 physical therapy visits post surgeries in a period of 6 months the patient reported no perceived disability with work after 52 weeks. Although, some functional disability was experienced when it came to general activities and sports between 4 to 13 percent based on the QuickDASH. Pain levels reported by the VAS remained considerable low. The subject reported pain level between 0-4 on a 10 scale; pain decreased to zero by week 10.

Pain is known to reduce participation and functioning in individual’s daily lives. Meriano & Latella, (2008) explained how Pain and Sensation are identified on the American Occupational Therapy Association framework as client factors. These client factors are foundations for participation and functional performance in activities of daily living (Meriano & Latella, 2008). Carpal Tunnel Release is a surgical intervention is a common treatment for CTS however for milder symptoms or individuals waiting for surgery the benefit of conservation interventions should be investigated. Conservation Interventions identified through research include steroid injections, cold therapy, splinting, nerve gliding, acupuncture, and task modification or ergonomic tools. Atroshi (1999) reported splinting as an effective intervention for mild to moderate CTS . The purpose of this paper is to identify if conservation interventions especially splinting can be effective in alleviating symptoms increasing adults with CTS functional

The four accepted articles were analyzed and summarized. Article validity, reliability, and bias are included in the discussion. An overview of the articles are included in Table 2, indicating evidence level, design, population characteristics, intervention specifics, outcome measures, and PICO question relevance.

The researchers here described what methods were used to produce comparable groups by analyzing risk of bias, and determined whether blinding was used. The quality assessments were reviewed by 2 authors and the statistical heterogeneity in each meta-analysis was assessed using the T2, I2 and Chi2 statistics. (Mackeen, Berghella &Larsen,

Functional status was measured by COPM scores and HAQ while the level of coping was measured by AIMS2. HAQ and COPM results indicated EG (mean ∆HAQ= -0.27, SD=0.49) had significantly greater improvement in functional status than CG (mean ∆HAQ=-0.17, SD=0.51), when compared to their own baseline, p= 0.04. In COPM, results showed EG (mean ∆COPM satisfaction= 4.08, SD=2.41; mean ∆COPM performance= 3.10, SD= 2.01) had significantly greater satisfaction (p=0.001) and functional level (p=0.001) in occupational performance than CG (mean ∆COPM satisfaction= 0.25, SD=2.16; mean ∆COPM performance= -0.28, SD= 1.44) when compared to baseline. AIMS2 pain subscale score showed EG (mean ∆AIMS2 pain= -2.31, SD=1.74) also had significantly better pain coping skills (p=0.03) than CG (mean ∆HAQ=--0.27, SD=0.49). In conclusion, this study showed a joint protection program led by occupational therapy improved the RA patients’ occupational function and participation. It showed the importance of including both individual and group sessions since individualized goal-setting ensured OT’s client-centered practice while group sessions provided social interaction to RA

Manual therapy journal is considred the official journal of Musculoskeletal Association of Chartered Physiotherapists (UK), the Manual Therapy Association Belgium and the Dutch Association for Manual Therapy. Additionally, it is officially supported by several association and society such as [British Osteopathic Association, Canadian Academy of Manipulative Therapy, The International Society of Clinical Rehabilitation Specialists, and Sports Massage Association]. It has a SCImago Journal Rank (SJR) of 0.954.

After 27 physical therapy visits post surgeries in a period of 6 months the patient reported no perceived work disability after 52 weeks. Nonetheless, some functional disability was experienced when it came to general activities and sports between 4 to 13 percent based on the QuickDASH. Pain levels reported by the VAS remained considerable low. The subject reported the pain level between 0-4 on a 10 scale; pain decreased to zero by week 10.

All of the studies had searched various databases, which included, MEDLINE, EMBASE, The Cochrane Central Register of Controlled Trials (CENTRAL), the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Physiotherapy Evidence Database (PEDro), Google scholar and OpenGrey. Randomized control trials were put to use and

intensity in order to gather information about the effectiveness of current interventions if the individual has tried anything. Treatment of these patient pain should include strategies to increase the patient’s capacity to some environmental challenges. It’s established that regular physical therapy, exercise, and cognitive behavioral therapy (CBT) are important for healthy aging and are beneficial for chronic disease management such as pain (“CDC Guideline for prescribing,” 2017). If the elderly patient’s health status prevents them from achieving the daily recommended goals, it is better for them to achieve a small amount of exercise than nothing at all, but guidance and providing pictures with instructions is important Callahan (as cited