According to Ryerson (2008)[1] assessment in neurological physiotherapy is a process of collecting information about disordered movement patterns, underlying impairments, activity restrictions, and societal participation for the purpose of intervention planning. While Bernhardt & Hill (2005)[2] outline that the purpose of assessment is to help the therapist determine the best intervention. Assessment is arguably the most important step in the rehabilitation process, as our clinical reasoning is based on the information it provides and provides the basis for our decision making throughout the rehabilitation process. Johnson & Thompson (1996) outlined that treatment can only be as good as the assessment on which it was based. So in order for us to progress and manage our treatment plan and ensure we are identifying out patients problems assessment should be an ongoing and continuous, and should allow us toindividualised, patient-centred goals and ultimately a tailor-made treatment plan for the individual.
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Tempest et al (2013)[3] identified that the International Classification of Functioning, Disability and Health (ICF) enhanced clarity of communication and team roles within an acute stroke multidisciplinary team as well as with other clinicians, patients and their relatives. In addition, the ICF challenged stroke clinicians to think holistically, thereby appropriately extending their domain of concern beyond their traditional remit. We can use the framework of the ICF to define the role and purpose of physiotherapy for patients with neurological conditions. The ICF was introduced by the World Health Organization (WHO) in 2011 and is a revised version of the International Classification of Impairment, Disability and Handicap. The ICF defines components of health from the perspective of the body, the individual and society. One of its primary purposes is to provide unified and standard language for those working in the area disability.
We can use the ICF to articulate the goals and purpose of physiotherapy for patients following Stroke. For example, the health condition is Stroke. An associated impairment is poor strength. Poor strength directly impacts on the ability to perform activities such as walking and moving. This in turn has implications for participation, such as working, engaging in family life and participating in community activities. Impairments, activity limitations and participation restrictions are all affected by environmental and personal factors, such as support from family and employers, access to appropriate equipment, financial situation and coping mechanisms. In the ICF framework, such environmental and personal influences are termed contextual factors.
Reviewing the patients medical chart and leasing with the medical team forms the initial element of any patient assessment, providing background data about the patient to assist us to determine if the patient is medically stable and ready for physiotherapy intervention[1].
A classic textbook and a student favourite, Tidys 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. Tidys 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 whichoffers 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: Reflection Collaborative health and social care / interprofessional education Clinical leadership Pharmacology Muscle imbalance Sports management Acupuncture in physiotherapy Management of Parkinsons and of older people Neurodynamics Part of the Physiotherapy Essentials series core textbooks for both students and lecturers! Covers a comprehensive range of clinical, academic and professional subjects Annotated illustrations to simplify learning Definition, Key Point and Weblink boxes Online access to over 50 video clips and 100s of dowloadable images ( ) Online resources via Evolve Learning with video clips, image bank, crosswords and MCQs! Log on and register at Case studies Additional illustrations
1. The responsibilities of being a physiotherapist 2. Collaborative health and social care, and the role of interprofessional education 3. Clinical leadership 4. Pharmacology 5. Reflection 6. Management of respiratory diseases 7. Adult spontaneous and conventional mechanical ventilation 8. Cardiac rehabilitation 9. Physiotherapy in thoracic surgery 10. Changing relationships for promoting health 11. Musculoskeletal assessment 12. The physiotherapy management of inflammation, healing and repair 13. Exercise in rehabilitation 14. Muscle imbalance 15. Biomechanics 16. Sports management 17. Pain 18. Acupuncture in physiotherapy 19. Electrotherapy 20. Physiotherapy for people with major amputation 21. Massage 22. An introduction to fractures 23. Joint arthroplasty 24. Physiotherapy management of Parkinson's and of older people 25. Neurodynamics 26. Neurological physiotherapy 27. Physiotherapy in women's health
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Before surgery, your physiotherapist will teach you exercises to strengthen your body. These exercises will be personalised for you and the type of surgery you will be having. Sticking to your physiotherapy plan is crucial to getting the most out of your surgery.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the causal agent of Coronavirus disease 2019 (COVID-19), a pandemic disease declared in 2020. The clinical manifestations of this pathology are heterogeneous including fever, cough, dyspnea, anosmia, headache, fatigue, taste dysfunction, among others. Survivors of COVID-19 have demonstrated several persistent symptoms derived from its multisystemic physiopathology. These symptoms can be fatigue, dyspnea, chest pain, dry and productive cough, respiratory insufficiency, and psychoemotional disturbance. To reduce and recover from the post-COVID-19 sequelae is fundamental an early and multifactorial medical treatment. Integral post-COVID-19 physiotherapy is a tool to reduce dyspnea, improve lung capacity, decrease psychoemotional alterations, as well as increase the muscle strength affected by this disease. Thus, the aim of this study was to establish a novel physiotherapeutic plan for post-COVID-19 patients, evaluating the effect of this treatment in the reduction of the sequelae in terms of lung capacity, cardio-respiratory, and muscular strength improvements. This was a cross-sectional study in which a protocol of 12 sessions in 4 weeks of physiotherapy was implemented in the patients enrolled. We conducted a medical assessment, an interview, a DASS-21 test, a spirometry, a 6-min walk test, and a hand dynamometer test to evaluate the post-COVID condition of patients before and after the sessions. A total of 42 patients participated in the program. Results of this work showed a decrease of around 50% of post-COVID-19 sequelae and an improvement in the psychoemotional status of patients. Also, we observed an increase of 7.16% in the FEV1 value and 7.56% for FVC. In addition, the maximal functional capacity increased by 0.577 METs, the 6-min walk test performance increased by 13%, and the SpO2 improved by 1.40%. Finally, the handgrip strength test showed an improvement in the left hand and right hand of 2.90 and 2.24 Kg, respectively. We developed this study to propose a novel methodology to provide information for a better treatment and management of post-COVID-19 patients. 2ff7e9595c