Dissertations / Theses on the topic 'Physical therapy – Practice'
To see the other types of publications on this topic, follow the link: Physical therapy – Practice.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Physical therapy – Practice.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Romanello, Mary L. "Cultural Competence and Reflective Practice in Physical Therapy Education." Miami University / OhioLINK, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=miami1006873170.
Full text
2
Courtney, Michele A. "Physical Therapy Faculty Clinical Practice and Faculty Work Characteristics." Ohio University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1459078188.
Full text
3
Daugherty, Matthew Lane. "Small Business Marketing Strategies for Physical Therapy Practice Owners." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6196.
Full textAbstract:
The United States economy depends on small businesses, which represent 99% of all businesses in the United States, yet approximately 50% of small businesses cease operations in the first 5 years. The purpose of this multiple case study was to explore the marketing strategies used by owners of small businesses to develop and maintain their organization through the initial 5 years of business operation. The population included 5 physical therapy business owners in northeastern Florida who had sustained their business for a minimum of 5 years. The conceptual framework for this study was the brand equity model, and data were collected through semistructured interviews, online company marketing materials, and archival company documents. Yin's 5-step analysis guided the data analysis process: (a) collecting data, (b) grouping data into codes (c) grouping data into themes (d) assessing the themes, and (e) developing conclusions. Member checking, transcript review, and triangulation were used to validate the study data. The 5 study themes were brand awareness, relationship marketing, perceived quality, social media and online marketing, and word-of-mouth marketing. The implications of this study for positive social change include the potential for economic growth in the physical therapy practice market, as well as improved patient access to physical therapy services through a greater number of physical therapy practices.
4
Trede, Franziska Veronika. "A Critical Practice Model For Physiotherapy." Thesis, The University of Sydney, 2006. http://hdl.handle.net/2123/1430.
Full textAbstract:
A perspective in critical social science is concerned with knowledge, power and critique. This thesis explores the question: What would physiotherapy practice look like if it were informed by critical social science? This question originated from four observations: (1) physiotherapists work with constantly changing health care demands, (2) traditional practice approaches underpinned by rational objectivity widen the gap between theory and practice, (3) professional judgments are based on more than objective, rational thinking, and (4) concluding from the first three observations clinical physiotherapists rely more and more on thinking for themselves. If physiotherapists were to adopt a critical social science perspective they would question their practice, identify taken-for-granted, unreflected assumptions and unnecessary system constraints and liberate themselves, their practice and patients, thereby enhancing both the quality of patient care and the practitioner’s professional work experience. Following the hermeneutic tradition I constructed texts from pertinent literature as well as transcripts from participants’ interviews, action plans and field notes. I developed an integrative design to interpret these texts drawing from philosophical and critical hermeneutics as well as action research. The question and answer dialogue methodology consisted of four cycles including deep, critical and transformative dimensions. These I labelled critical transformative dialogues. The first dialogue was with the critical social science literature and with the Gadamer-Habermas and Foucault- Habermas debates in particular. These debates addressed issues of rationality, knowledge and power. Further, I reviewed relevant education, nursing and health promotion literature that addressed these critical social science themes. This first dialogue crystallised my identification of key CSS dimensions relevant to physiotherapy practice. The second dialogue comprised physiotherapy literature that related to these identified critical social science dimensions, as well as transcripts from physiotherapists’ interviews. This dialogue critically interpreted current practice models in their historical, educational and practice contexts. It highlighted the finding that physiotherapy practice is currently dominated by instrumental thinking rather than critical thinking, and that there is a lack of engagement of physiotherapy practice with CSS. The third dialogue was with physiotherapists trialling CSS in practice. Physiotherapists of this trialling group designed action learning “contracts” where they set out to change their practice in the sense of adopting CSS principles and activities in their practice. I explored with these participants how CSS could work or fit in their practice and practice contexts and how this would be experienced. Through this action learning project of endeavouring to transform their practice towards a CSS model I explored participants’ capacity to learn about posing problems concerning their practice, recognise practice contradictions, experience practice challenges and recognise their motivations and interests. This exploration illuminated the viability of CSS in their practice. The fourth dialogue was with physiotherapists who operationalised CSS values or who could visualise a CSS framework for their practice whether they used this terminology or not. This dialogue brought critical understanding of the advantages and potential limitations of realising a CSS-centred physiotherapy practice. I conclude the thesis with twelve propositions arising from these four critical transformative dialogues. Based on the trialling, transforming and visioning of CSS as a model for physiotherapy practice, the relevance of these propositions for critical physiotherapy practice is asserted and implications for education and further research are discussed. The contribution that CSS can make to physiotherapy practice is to add critical transformative dialogues as a strategy to advance practice that is patient-centred and multidisciplinary in approach, inclusive of sociopolitical environments, mindful of professional power and open about professional values.
5
Trede, Franziska Veronika. "A Critical Practice Model For Physiotherapy." University of Sydney, 2006. http://hdl.handle.net/2123/1430.
Full textAbstract:
Doctor of PhilosophyA perspective in critical social science is concerned with knowledge, power and critique. This thesis explores the question: What would physiotherapy practice look like if it were informed by critical social science? This question originated from four observations: (1) physiotherapists work with constantly changing health care demands, (2) traditional practice approaches underpinned by rational objectivity widen the gap between theory and practice, (3) professional judgments are based on more than objective, rational thinking, and (4) concluding from the first three observations clinical physiotherapists rely more and more on thinking for themselves. If physiotherapists were to adopt a critical social science perspective they would question their practice, identify taken-for-granted, unreflected assumptions and unnecessary system constraints and liberate themselves, their practice and patients, thereby enhancing both the quality of patient care and the practitioner’s professional work experience. Following the hermeneutic tradition I constructed texts from pertinent literature as well as transcripts from participants’ interviews, action plans and field notes. I developed an integrative design to interpret these texts drawing from philosophical and critical hermeneutics as well as action research. The question and answer dialogue methodology consisted of four cycles including deep, critical and transformative dimensions. These I labelled critical transformative dialogues. The first dialogue was with the critical social science literature and with the Gadamer-Habermas and Foucault- Habermas debates in particular. These debates addressed issues of rationality, knowledge and power. Further, I reviewed relevant education, nursing and health promotion literature that addressed these critical social science themes. This first dialogue crystallised my identification of key CSS dimensions relevant to physiotherapy practice. The second dialogue comprised physiotherapy literature that related to these identified critical social science dimensions, as well as transcripts from physiotherapists’ interviews. This dialogue critically interpreted current practice models in their historical, educational and practice contexts. It highlighted the finding that physiotherapy practice is currently dominated by instrumental thinking rather than critical thinking, and that there is a lack of engagement of physiotherapy practice with CSS. The third dialogue was with physiotherapists trialling CSS in practice. Physiotherapists of this trialling group designed action learning “contracts” where they set out to change their practice in the sense of adopting CSS principles and activities in their practice. I explored with these participants how CSS could work or fit in their practice and practice contexts and how this would be experienced. Through this action learning project of endeavouring to transform their practice towards a CSS model I explored participants’ capacity to learn about posing problems concerning their practice, recognise practice contradictions, experience practice challenges and recognise their motivations and interests. This exploration illuminated the viability of CSS in their practice. The fourth dialogue was with physiotherapists who operationalised CSS values or who could visualise a CSS framework for their practice whether they used this terminology or not. This dialogue brought critical understanding of the advantages and potential limitations of realising a CSS-centred physiotherapy practice. I conclude the thesis with twelve propositions arising from these four critical transformative dialogues. Based on the trialling, transforming and visioning of CSS as a model for physiotherapy practice, the relevance of these propositions for critical physiotherapy practice is asserted and implications for education and further research are discussed. The contribution that CSS can make to physiotherapy practice is to add critical transformative dialogues as a strategy to advance practice that is patient-centred and multidisciplinary in approach, inclusive of sociopolitical environments, mindful of professional power and open about professional values.
6
Palaima, Mary Margaret. "Evidence based practice: clinical experiences of recent Doctor of Physical Therapy graduates." Thesis, Boston University, 2010. https://hdl.handle.net/2144/31993.
Full textAbstract:
Thesis (Ed.D.)--Boston UniversityPLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
This study examined how recent Doctor of Physical Therapy (DPT) graduates, trained in Evidence-Based Practice (EBP) principles and practices during their professional academic program, implement EBP in their clinical settings. This qualitative study used semi-structured interviews to explore the experiences of recent DPT graduates and their mentors, reviewed EBP-related documents and analyzed interviewee self-assessments of EBP skills. Interviewees (N=18) included twelve recent DPT graduates and six mentors. Data analysis included open coding of interview transcripts to identify emerging themes, axial coding of patterns and relationships between themes and content expert review. A major finding was the interrelationship between organizational factors (culture, structural supports) and the roles the graduates assumed in their clinical settings, which suggest that organizational culture (values) and structure (e.g. roles, responsibilities and resources) shape the clinical practice environment and influence how the DPT graduates implement EBP in their practice. The findings also suggest that DPT graduates practicing EBP may influence the culture and structure of the clinical setting, which has implications for academics and managers in physical therapy practice settings.
2031-01-02
7
Manalo, Joseph B. "Ascend Physical Therapy| A Private Practice Clinic for the Next Level." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10605220.
Full textAbstract:
Perfect economic conditions in the national unemployment rate, healthcare crisis in the medical management of acute and chronic conditions, aging population, and the promotion of an active lifestyle culminate in the need of services for physical therapy to address the medical necessity in the healthcare management of musculoskeletal disorders. A private practice in the City of Redondo Beach is primed to provide the needed services patients are seeking to help address all their musculoskeletal needs and goals. The combination of specialized training, advance education, and excellent patient satisfaction is placing Ascend Physical Therapy at the forefront as the first and best choice for physical therapy. Patient outcomes will exceed expectations and will form a relationship with both patients, provider and referral source that will foster a healthy active lifestyle.
8
Rabinowicz, Susan. "Physical Therapists' Perspective on Practice in Early Intervention through the Lens of Knowledge Translation." Thesis, State University of New York at Stony Brook, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10687374.
Full textAbstract:
With the current emphasis on evidence-based physical therapy practice, there is a need to understand how published research is translated into practice and utilized by clinicians (Hudon, Gervais, & Hunt, 2015; Jewell, 2018). Knowledge translation (KT), the process of moving research evidence into day-to-day practice, encompasses awareness of new evidence, modifications of existing beliefs and changes in clinical behaviors. The process of KT may be affected by factors associated with the practice environment, the new knowledge or the individual (Logan & Graham, 1998; Rogers, 2003d). Engagement in KT helps to ensure that practitioners are maintaining currency with the research evidence and narrowing the knowledge-to-practice gap (Rogers & Martin, 2009b; Sudsawad, 2007). There is a paucity of research examining physical therapists? experiences with acquiring and utilizing research evidence for practice in early intervention (Sudsawad, 2007). The purpose of this study was to explore the process of knowledge translation for physical therapists in early intervention through a theory-driven approach adapted from the Diffusion of Innovations Theory and Ottawa Model of Research Use. A qualitative exploratory study was conducted with 36 practicing physical therapists from early intervention programs in New York State. The therapists were asked to describe their practice patterns and how they acquire and utilize new knowledge. The conceptual model captured data relevant to the process of KT. The model enabled the researcher to understand the important role that social networks have for this group of physical therapists, identified therapists based on their utilization of research-informed interventions, and identified contributing factors that exist within the individual, the practice environment and the knowledge itself that impact the utilization of research evidence. The findings indicate variability in practice patterns among the physical therapists in this study. Some of the therapists reported using research-informed treatment interventions and others did not. The factors that influenced variability include level of professional education, membership in professional organizations and opportunities to network with professionals that have adopted an evidence-based approach to practice. The results of this study provide important information related to how physical therapists are acquiring their knowledge in early intervention and how they are practicing. Next steps would be to gather data clarifying the steps that move therapists from acquiring research evidence to implementation. Interpretation of physical therapists? experiences in knowledge translation is an important step in closing the knowledge-to-practice gap.
9
Ajjawi, Rola. "Learning to communicate clinical reasoning in physiotherapy practice." Thesis, The University of Sydney, 2006. http://hdl.handle.net/2123/1556.
Full textAbstract:
Effective clinical reasoning and its communication are essential to health professional practice, especially in the current health care climate. Increasing litigation leading to legal requirements for comprehensive, relevant and appropriate information exchange between health professionals and patients (including their caregivers) and the drive for active consumer involvement are two key factors that underline the importance of clear communication and collaborative decision making. Health professionals are accountable for their decisions and service provision to various stakeholders, including patients, health sector managers, policy-makers and colleagues. An important aspect of this accountability is the ability to clearly articulate and justify management decisions. Considerable research across the health disciplines has investigated the nature of clinical reasoning and its relationship with knowledge and expertise. However, physiotherapy research literature to date has not specifically addressed the interaction between communication and clinical reasoning in practice, neither has it explored modes and patterns of learning that facilitate the acquisition of this complex skill. The purpose of this research was to contribute to the profession’s knowledge base a greater understanding of how experienced physiotherapists having learned to reason, then learn to communicate their clinical reasoning with patients and with novice physiotherapists. Informed by the interpretive paradigm, a hermeneutic phenomenological research study was conducted using multiple methods of data collection including observation, written reflective exercises and repeated semi-structured interviews. Data were analysed using phenomenological and hermeneutic strategies involving in-depth, iterative reading and interpretation to identify themes in the data. Twelve physiotherapists with clinical and supervisory experience were recruited from the areas of cardiopulmonary, musculoskeletal and neurological physiotherapy to participate in this study. Participants’ learning journeys were diverse, although certain factors and episodes of learning were common or similar. Participation with colleagues, peers and students, where the participants felt supported and guided in their learning, was a powerful way to learn to reason and to communicate reasoning. Experiential learning strategies, such as guidance, observation, discussion and feedback were found to be effective in enhancing learning of clinical reasoning and its communication. The cultural and environmental context created and supported by the practice community (which includes health professionals, patients and caregivers) was found to influence the participants’ learning of clinical reasoning and its communication. Participants reported various incidents that raised their awareness of their reasoning and communication abilities, such as teaching students on clinical placements, and informal discussions with peers about patients; these were linked with periods of steep learning of both abilities. Findings from this research present learning to reason and to communicate reasoning as journeys of professional socialisation that evolve through higher education and in the workplace. A key finding that supports this view is that clinical reasoning and its communication are embedded in the context of professional practice and therefore are best learned in this context of becoming, and developing as, a member of the profession. Communication of clinical reasoning was found to be both an inherent part of reasoning and an essential and complementary skill necessary for sound reasoning, that was embedded in the contextual demands of the task and situation. In this way clinical reasoning and its communication are intertwined and should be learned concurrently. The learning and teaching of clinical reasoning and its communication should be synergistic and integrated; contextual, meaningful and reflexive.
10
Ajjawi, Rola. "Learning to communicate clinical reasoning in physiotherapy practice." University of Sydney, 2006. http://hdl.handle.net/2123/1556.
Full textAbstract:
Doctor of Philosophy (PhD)Effective clinical reasoning and its communication are essential to health professional practice, especially in the current health care climate. Increasing litigation leading to legal requirements for comprehensive, relevant and appropriate information exchange between health professionals and patients (including their caregivers) and the drive for active consumer involvement are two key factors that underline the importance of clear communication and collaborative decision making. Health professionals are accountable for their decisions and service provision to various stakeholders, including patients, health sector managers, policy-makers and colleagues. An important aspect of this accountability is the ability to clearly articulate and justify management decisions. Considerable research across the health disciplines has investigated the nature of clinical reasoning and its relationship with knowledge and expertise. However, physiotherapy research literature to date has not specifically addressed the interaction between communication and clinical reasoning in practice, neither has it explored modes and patterns of learning that facilitate the acquisition of this complex skill. The purpose of this research was to contribute to the profession’s knowledge base a greater understanding of how experienced physiotherapists having learned to reason, then learn to communicate their clinical reasoning with patients and with novice physiotherapists. Informed by the interpretive paradigm, a hermeneutic phenomenological research study was conducted using multiple methods of data collection including observation, written reflective exercises and repeated semi-structured interviews. Data were analysed using phenomenological and hermeneutic strategies involving in-depth, iterative reading and interpretation to identify themes in the data. Twelve physiotherapists with clinical and supervisory experience were recruited from the areas of cardiopulmonary, musculoskeletal and neurological physiotherapy to participate in this study. Participants’ learning journeys were diverse, although certain factors and episodes of learning were common or similar. Participation with colleagues, peers and students, where the participants felt supported and guided in their learning, was a powerful way to learn to reason and to communicate reasoning. Experiential learning strategies, such as guidance, observation, discussion and feedback were found to be effective in enhancing learning of clinical reasoning and its communication. The cultural and environmental context created and supported by the practice community (which includes health professionals, patients and caregivers) was found to influence the participants’ learning of clinical reasoning and its communication. Participants reported various incidents that raised their awareness of their reasoning and communication abilities, such as teaching students on clinical placements, and informal discussions with peers about patients; these were linked with periods of steep learning of both abilities. Findings from this research present learning to reason and to communicate reasoning as journeys of professional socialisation that evolve through higher education and in the workplace. A key finding that supports this view is that clinical reasoning and its communication are embedded in the context of professional practice and therefore are best learned in this context of becoming, and developing as, a member of the profession. Communication of clinical reasoning was found to be both an inherent part of reasoning and an essential and complementary skill necessary for sound reasoning, that was embedded in the contextual demands of the task and situation. In this way clinical reasoning and its communication are intertwined and should be learned concurrently. The learning and teaching of clinical reasoning and its communication should be synergistic and integrated; contextual, meaningful and reflexive.
11
Megrath, Kimberley Lewis. "Interdisciplinary standards for practice in early intervention : perceptions of pediatric academic educators in professional physical therapy programs /." view abstract or download file of text, 2000. http://wwwlib.umi.com/cr/uoregon/fullcit?p9963451.
Full textAbstract:
Thesis (Ph. D.)--University of Oregon, 2000.Typescript. Includes vita and abstract. Includes bibliographical references (leaves 324-344). Also available for download via the World Wide Web; free to University of Oregon users. Address: http://wwwlib.umi.com/cr/uoregon/fullcit?p9963451.
12
Silberman, Nicki. "High fidelity human simulation used in preparation for physical therapy student acute care clinical practice experiences." NSUWorks, 2014. http://nsuworks.nova.edu/hpd_pt_stuetd/22.
Full text
13
Brown, Claudia. "Recommendations for best-practice interdisciplinary management of women with vaginismus." Thesis, McGill University, 2013. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=119373.
Full textAbstract:
Vaginismus is a female health condition characterised by a persistent difficulty in allowing vaginal penetration, in spite of an expressed desire to do so. It has been proposed that a comprehensive approach to this condition would address inherent elements of anxiety and fear, pain, increased pelvic floor muscle tone, and issues relating to sexual pleasure. Given that comprehensive management may best be accomplished by combining the expertise of various disciplines involved in patient care, a multi-modal, multidisciplinary approach is recommended. To date, there is little literature available to provide guidance in the operationalization of this type of approach for women with vaginismus, for example, to identify the disciplines that should be involved, to lay out the requirements for collaboration between disciplines and with the individual, and to outline a framework for optimum management. Furthermore, the term multidisciplinary is sometimes used interchangeably with the term interdisciplinary, yet they represent two distinct treatment models along a continuum of increasingly collaborative approaches. As the advantages of interdisciplinary management in primary healthcare are believed to outweigh those of multi-disciplinary management, one may propose that the ideal approach to the management of vaginismus be interdisciplinary. The global objective of the main study presented in this thesis was thus to establish recommendations for best-practice interdisciplinary management of women with vaginismus. This thesis begins with a comprehensive literature review on treatment interventions for vaginismus and on current recommendations for the management of women with this condition, and is followed by the methodology and results from a study of health professionals who are considered expert on the topic of vaginismus. A two-fold approach was used in order to develop a set of recommendations for best-practice interdisciplinary management of women with vaginismus. First, a multi-disciplinary expert recommendations meeting was held during an international conference on women's sexual health to glean expert opinion on best-practice interdisciplinary management of this condition. Data obtained from this focus group was compiled and analysed to devise an initial list of recommendations, which was subsequently validated and further explored via a Two-Round Delphi electronic survey of additional experts on the topic of vaginismus. This consensus process also allowed for the identification of some of the areas requiring further discussion, investigation and research in this field.While physiotherapists are involved in the study and treatment of a variety of disorders related to pelvic floor dysfunction, including urinary, ano-rectal and sexual pathologies, vaginismus is one disorder that has traditionally been studied and treated by disciplines other than physiotherapy. At the end of this thesis, a clinical commentary by the lead author is presented, to interpret the results of this study through the lens of a physiotherapist working clinically with women with vaginismus, in an attempt to help clarify the role of the physiotherapist in the interdisciplinary management of these women, within the context of daily practice.Le vaginisme est une condition de santé féminine qui se caractérise par une difficulté persistante à permettre la pénétration vaginale, malgré l'expression d'un désir de le faire. Il est proposé qu'une approche compréhensive pour cette condition devrait se concentrer sur les éléments d'anxiété, de crainte/peur, de douleur, de l'hypertonicité musculaire du plancher pelvien, et des facteurs reliés au plaisir sexuel. Étant donné qu'une gestion compréhensive du vaginisme pourrait être accomplie plus efficacement en combinant les expertises de disciplines variées, une approche multi-modale et multi-disciplinaire est recommandée. À date, il existe peu de littérature expliquant comment exercer ce genre d'approche, par exemple, comment identifier les disciplines qui devraient être impliquées, comment énumérer la collaboration qui devrait prendre place entre les disciplines et avec le patient, et comment proposer un model pour la gestion optimale des femmes aux prises avec le vaginisme. De plus, le terme multidisciplinaire est souvent confondu avec le terme interdisciplinaire, même si ces deux termes représentent deux modèles distincts sur un continuum d'approches de plus en plus collaboratives. Comme les avantages de la gestion interdisciplinaire en soin de santé primaire ont été démontrées de surpasser ceux de la gestion multidisciplinaire, il est par conséquent proposé que l'approche idéale pour le vaginisme devrait être interdisciplinaire. L'objectif global de l'étude présentée dans cette thèse était donc d'établir des recommandations pour la gestion interdisciplinaire des femmes qui souffrent du vaginisme.Cette thèse est présentée à l'aide de deux manuscrits, suivis d'un commentaire clinique. Le premier manuscrit concerne une révision compréhensive de la littérature sur les interventions pour le vaginisme et sur les recommandations pour la gestion des femmes aux prises avec cette condition. Le deuxième manuscrit décrit la méthodologie et les résultats d'une étude effectuée avec des professionnels de la santé considérés experts dans le domaine du vaginisme. Une approche de deux étapes a été employée pour développer un ensemble de recommandations pour la gestion interdisciplinaire des femmes avec le vaginisme. En premier lieu, une rencontre multidisciplinaire incluant divers experts a eu lieu pendant une conférence internationale en santé sexuelle de la femme pour obtenir l'opinion d'expertise sur la gestion interdisciplinaire de cette condition. Les données obtenues lors de cette rencontre ont été compilées et analysées pour créer une liste initiale des recommandations. Ces recommandations ont, par la suite, été validées et explorées d'avantage via un sondage électronique de Delphi avec deux ronds rempli par des experts additionnels sur le sujet du vaginisme. L'information obtenue a donné lieu à un ensemble de recommandations pour la gestion interdisciplinaire des femmes souffrantes de vaginisme. Ce processus de consensus a aussi permis l'identification des sujets qui requièrent plus de discussion, d'investigation et/ou de recherche dans ce domaine. Même si les physiothérapeutes sont impliqués dans l'étude et le traitement d'une variété de problèmes reliés à la dysfonction du plancher pelvien, incluant des pathologies urinaires, ano-rectales et sexuelles, le vaginisme a dorénavant été étudiée et traitée par des disciplines autre que celle de la physiothérapie. À la fin de cette thèse, un commentaire clinique écrit par l'auteure principale est présenté dans le but d'interpréter les résultats de cette étude du point de vue d'une physiothérapeute qui travaille cliniquement avec les femmes souffrantes du vaginisme et de clarifier le rôle de la physiothérapie dans la gestion interdisciplinaire de ces femmes.
14
Hall, Courtney D., Susan J. Herdman, Susan L. Whitney, Stephen P. Cass, Richard A. Clendaniel, and Terry D. Fife. "Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/543.
Full textAbstract:
Background: Uncompensated vestibular hypofunction results in postural instability, visual blurring with head movement, and subjective complaints of dizziness and/or imbalance. We sought to answer the question, “Is vestibular exercise effective at enhancing recovery of function in people with peripheral (unilateral or bilateral) vestibular hypofunction?” Methods: A systematic review of the literature was performed in 5 databases published after 1985 and 5 additional sources for relevant publications were searched. Article types included meta-analyses, systematic reviews, randomized controlled trials, cohort studies, case control series, and case series for human subjects, published in English. One hundred thirty-five articles were identified as relevant to this clinical practice guideline. Results/Discussion: Based on strong evidence and a preponderance of benefit over harm, clinicians should offer vestibular rehabilitation to persons with unilateral and bilateral vestibular hypofunction with impairments and functional limitations related to the vestibular deficit. Based on strong evidence and a preponderance of harm over benefit, clinicians should not include voluntary saccadic or smooth-pursuit eye movements in isolation (ie, without head movement) as specific exercises for gaze stability. Based on moderate evidence, clinicians may offer specific exercise techniques to target identified impairments or functional limitations. Based on moderate evidence and in consideration of patient preference, clinicians may provide supervised vestibular rehabilitation. Based on expert opinion extrapolated from the evidence, clinicians may prescribe a minimum of 3 times per day for the performance of gaze stability exercises as 1 component of a home exercise program. Based on expert opinion extrapolated from the evidence (range of supervised visits: 2-38 weeks, mean = 10 weeks), clinicians may consider providing adequate supervised vestibular rehabilitation sessions for the patient to understand the goals of the program and how to manage and progress themselves independently. As a general guide, persons without significant comorbidities that affect mobility and with acute or subacute unilateral vestibular hypofunction may need once a week supervised sessions for 2 to 3 weeks; persons with chronic unilateral vestibular hypofunction may need once a week sessions for 4 to 6 weeks; and persons with bilateral vestibular hypofunction may need once a week sessions for 8 to 12 weeks. In addition to supervised sessions, patients are provided a daily home exercise program. Disclaimer: These recommendations are intended as a guide for physical therapists and clinicians to optimize rehabilitation outcomes for persons with peripheral vestibular hypofunction undergoing vestibular rehabilitation.
15
McGill, Troy Edward. "Cost of Physical Therapists Serving as a Musculoskeletal Providers Compared to Family Practice Providers in a Military Treatment Facility." Diss., NSUWorks, 2017. https://nsuworks.nova.edu/hpd_pt_stuetd/70.
Full textAbstract:
Background. Physical therapists (PTs) in the U.S. military practice direct access and can order limited prescription medications, imaging studies. Military PTs function as autonomous primary care managers (PCMs) for patients with musculoskeletal (MSK) disorders. Objective. The study compared cost of PT management of patients with MSK disorders to management by traditional PCMs; medical doctors (MDs), doctors of osteopathic medicine (DOs), advanced registered nurse practitioners (ARNPs), and physician assistants (PAs). Methods. The researcher used a retrospective study of electronic medical records, using an exploratory, non-experimental, cross-sectional, and quantitative design method. Results. At an Air Force military medical clinic during an 18-month period from January 2016 through June 2017, 8,053 patients with MSK disorders were assessed. PT management of MSK patients resulted in a significantly lower rate of imaging studies, NSAIDS and cost of care when compared to MDs, DOs, PAs, or ARNPs. Patients with MSK disorders managed by PTs had no significant difference in return to work rate when compared to MDs, DOs, PAs, or ARNPs. Limitations. Data was collected at one Air Force medical clinic, with the majority of patients being active duty military. Conclusions. Findings suggest that PTs returned patients to work on par with care provided by traditional PCM’s. However, PTs used significantly fewer medications and imaging studies resulting in less overall cost of care. Longitudinal studies looking at recurrence rate of MSK conditions comparing non-PT PCMs to traditional PCMs manage would be of value when assessing cost over time. Keywords: Direct access physical therapy, primary care physical therapy.
16
Boynewicz, Kara, and Carol Trivette. "Building Capacity and Tailoring Practice with Families as Foundation for Providing Best Practices in Early Intervention Services Under IDEA." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/8346.
Full textAbstract:
Serving infants and toddlers and their families is the core of Part C under IDEA. Early motor delays have an increased risk for developmental delays in visual motor perception, social-emotional, and cognitive domains. Physical therapists in early intervention can assist families understanding of their child’s strengths and abilities so that families help their children develop and learn. The Division for Early Childhood (DEC) have recommended practice areas and special monograph series that guide practitioners in working with families. These document support promotion of the active participation of families in decision-making related to their child and development of a service plan for achieving the goals they hold for their child. In this interactive session, participants will learn about tools to help engage families to focus on intervention strategies in their natural enviornment. The session will challenge providers to think about their interactions with the child's family and how those interactions strengthen a family’s ability to support learning. Family-centered practices, family capacity-building practices and family and professional collaboration will be discussed with case examples. Participants will walk away with resources and tools to build capacity and tailor practice with families in their natural environment for best practice under IDEA.
17
Hall, Courtney D., Susan J. Herdman, Susan L. Whitney, and Lisa Heusel-Gillig. "Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: Clinical Practice Guideline and Beyond!" Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/565.
Full textAbstract:
Description:It is estimated that 35.4% of adults in the United States have vestibular dysfunction requiring medical attention, and the condition results in a substantial increase in fall risk. The Neurology Section and APTA supported the development of a clinical practice guideline (CPG) for vestibular rehabilitation of peripheral vestibular hypofunction. A Cochrane Database systematic review concluded that there is moderate to strong evidence in support of vestibular rehabilitation in the management of patients with unilateral vestibular hypofunction for reducing symptoms and improving function. The purpose of the CPG is to review the peer-reviewed literature and make recommendations based on the quality of the research for the treatment of peripheral vestibular hypofunction. The speakers will present the findings of clinical practice guidelines (CPG) for vestibular rehabilitation, including clinical and research recommendations. The session will use a case-based approach to illustrate implementation of these guidelines in clinical practice. Learning Objectives:1 . Describe and discuss the action statements from the vestibular rehabilitation CPG. 2. Implement the action statements into clinical practice. 3. Identify the gaps in the evidence and future research directions in vestibular rehabilitation.
18
Bowman, Winifred Edna. "The evaluation of an accreditation programme for quality improvement in private physiotherapy practice in South Africa." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52525.
Full textAbstract:
Thesis (PhD)--University of Stellenbosch, 2001.ENGLISH ABSTRACT: "Quality" has different meanings to different people. Even quality experts do not agree on a single definition: Juran's definition of quality revolves around his concept of "fitness for use", Crosby defines quality in terms of performance that produces "zero defects" and Deming defines quality as a "never ending cycle of continuous improvement". One element, however, that is common to all three approaches is that management must accept and demonstrate leadership if quality is to be achieved. Quality is rarely thought of as others perceive it. What is apparent is that if providers of care wish to maintain leadership in defining quality, they need to - Actively participate in the public debate about quality. Review the way in which they have been defining quality. Question whether their definitions are aligned with what the purchasers of health care define as being important. Develop meaningful measures of quality and data collection systems that will allow them to demonstrate quality and value. - Willingly share data not only on outcomes, and also measures that are specific to individual procedures and service providers. The PhysioFocus practice accreditation programme attempted to achieve the above factors. By realising the goal of the research this was determined. The goal of the research was to evaluate the PhysioFocus practice accreditation programme and to make recommendations on the educational programme for accreditation in private physiotherapy practices. This goal was realised by means of an exploratory and descriptive research design with a qualitative orientation. The evaluation of the PhysioFocus practice accreditation programme was performed by means of a validated evaluation instrument. The group interview revealed components of the PhysioFocus practice accreditation programme that require remediation. Recommendations included professional-ethical issues, business management and legislative issues. The recommendations will be implemented by the PhysioFocus practice accreditation committee. The PhysioFocus practice accreditation learning programme was evaluated by means of a semi-structured questionnaire, containing eleven questions and a section for comments. The general consensus was that the PhysioFocus practice accreditation programme is essential in private physiotherapy practice in South Africa. The implementation of the PhysioFocus practice accreditation programme resulted in the facilitation of quality physiotherapy; professional and personal development; monitoring of quality improvement processes; and the evaluation and remediation of these processes. This supported the central theoretical assumption of the research. Concerns were voiced about the lack of standards, lack of quality improvement skills, the public image of the physiotherapy profession and the lack of basic business management training. The researcher concluded that the implementation of the PhysioFocus practice accreditation programme is essential in private physiotherapy practice in South Africa. At present the current PhysioFocus practice accreditation programme does not address all the needs of private physiotherapy practices. Recommendations based on the research included remediation of the current PhysioFocus practice accreditation programme, formal education included business management, professional-ethical-Iegal issues, standards and scientific methods to analyse process variation and the development of improvement strategies in quality improvement. Other recommendations include informal education, physiotherapy management and structured quality improvement activities. The issue of the image of the professional physiotherapist was also addressed. Topics for future research were identified. The uniqueness of the research lies in the fact that this is the only physiotherapy practice accreditation programme implemented in South Africa. It is also the only physiotherapy practice accreditation programme in South Africa that has been evaluated.
AFRIKAANSE OPSOMMING: "Gehalte" het verskillende betekenisse vir verskillende mense. Selfs kenners op die gebied van gehalte stem nie saam met 'n enkele definisie nie. Juran se omvattende definisie is "gebruikswaarde", terwyl Crosby gehalte in terme van produksie, naamlik "zero defek", definieer. Deming definieer gehalte as "'n nimmereindigende siklus van voortdurende verbetering". Die een aspek wat al drie die kenners egter gemeen het, is dat bestuur leierskap moet aanvaar en demonstreer indien gehalte bereik wil word. Geen twee persone ervaar gehalte eenders nie. Indien diensverskaffers leiding wil behou ten opsigte van gehalte-definiëring, sal hulle verplig wees om: aktief deel te neem aan openbare debat oor gehalte; die aanvaarde definisie van gehalte te herevalueer; die aanvaarde definisie van gehalte op te weeg teenoor dié van die mediese hulpfonds-administrasie; gehalte- en data insamelingsisteme te ontwikkel om gehalte en waarde te bewys; en gewillig alle data te deel - nie net uitkomsdata nie, maar ook data wat spesifiek op individuele prosedures en diensverskaffers van toepassing is. Die PhysioFocus praktyk-akkreditasieprogram het gepoog om bogenoemde te bereik. Die navorsing het gerealiseer deurdat die doelstelling bereik is. Die doelstelling van die navorsing was om die PhysioFocus praktykakkreditasieprogram te evalueer en aanbevelings te maak vir 'n leerprogram vir die akkreditasieprogram. Die doelstelling het gerealiseer deur "n verkennende en beskrywende navorsingsontwerp vanuit 'n kwalitatiewe oriëntasie. Die evaluering van die PhysioFocus praktyk-akkreditasieprogram het deur middel van 'n gevalideerde evalueringsinstrument geskied. Die groepsonderhoud het areas van die PhysioFocus praktyk- akkreditasieprogram wat remediëring benodig, geïdentifiseer. Aanbevelings het professionele-etiese aspekte, besigheidsbestuur en wetlike aspekte ingesluit. Die aanbevelings sal deur die PhysioFocus praktykakkreditasiekommitee geïmplementeer word. Die evaluering van die PhysioFocus praktyk-akkreditasieleerprogram het deur middel van 'n semi-gestruktureerde vraelys met 11 oop vrae, tesame met 'n afdeling vir opmerkings, geskied. Die algemene aanname was dat die PhysioFocus praktyk-akkreditasieprogram noodsaaklik is in privaat fisioterapiepraktyk in Suid-Afrika. Die implementering van die PhysioFocus praktyk-akkreditasieprogram het gehalte fisioterapie, professionele en persoonlike ontwikkeling, die monitering van gehalteverbeteringsprosesse, asook evaluering en remediëring van hierdie prosesse, tot gevolg gehad. Dit het die sentraalteoretiese aanname van die navorsing ondersteun. Daar was egter kommer oor die gebrek aan standaarde, die beeld van die fisioterapieprofessie, asook die gebrek aan besigheidsbestuuropleiding. Die navorser het tot die gevolgtrekking gekom dat die implementering van die PhysioFocus praktyk-akkreditasieprogram noodsaaklik is in privaat fisioterapiepraktyk in Suid-Afrika. Die huidige PhysioFocus praktykakkreditasieprogram voldoen nie aan al die vereistes van privaat fisioterapiepraktyk in Suid Afrika nie. Aanbevelings vanuit die navorsing sluit die volgende in: remediëring van die huidige PhysioFocus praktyk-akkreditasieprogram; formele opleiding, insluitende profesionele-etiese-wetlike aspekte; standaarde; wetenskaplike metodes om die praktykprosesveranderinge te analiseer; en die ontwikkeling van 'n gestruktureerde gehalteverbeteringstrategie. Die beeld van die fisioterapieprofessie is ook aangespreek. Onderwerpe vir toekomstige navorsing is geïdentifiseer. Die navorsing is uniek omdat die PhysioFocus praktyk-akkreditasieprogram die enigste akkreditasieprogram vir fisioterapie in Suid Afrika is. Dit is ook die enigste fisioterapie-akkreditasieprogram wat in Suid Afrika geëvalueer is.
19
Mallini, Kerry Cronin. "LEADERSHIP DEVELOPMENT IN PHYSICAL THERAPY: MOVING TOWARD A COMMUNITY OF TRANSFORMATIVE PRACTITIONERS." UKnowledge, 2019. https://uknowledge.uky.edu/edl_etds/25.
Full textAbstract:
Physical therapy as an emerging profession is committed to establishing its identity and solidifying its role as a leader in health care. With expertise in human movement, wellness, and disease prevention, physical therapists possess invaluable knowledge and skill to influence public health and enhance patient recovery without increasing cost. Physical therapists have the opportunity to transform the delivery of public health services to meet current and future needs. A major challenge, however, is a dearth of leadership development in preparation programs. Because most physical therapists have not received formal education or explicit training in leadership, a problem of practice exists.
This dissertation is a report of a mixed-methods action-research study that explores leadership development among aspiring and practicing physical therapists. It describes a series of professional development (PD) activities designed to foster transformational leadership and a community of practice among a group of clinicians in a privately-owned clinic in north Florida. Qualitative and quantitative data collection and analysis indicate positive changes were made in understanding transformational leadership, engagement in community service, relationship building among coworkers, communication, and community of practice after participation in the PD activities. Analysis of results also identified the need for continued relationship development, conflict resolution, and building strong teams.
Because a paucity of literature related to leadership development in physical therapy exists, findings from this study may prove useful to the field. The results describe a feasible method of leadership development and sustainability of a community of practice to inspire transformative practitioners who lead in the clinic and the community.
20
Maigeh, Elias Peterson. "The perceived attitudes, knowledge and barriers towards evidence-based practice (EBP) amongst physiotherapists in the United Republic of Tanzania." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&.
Full textAbstract:
There has recently been an increased pressure in all-healthcare disciplines to provide interventions that are scientific, safe, efficient and cost-effective. Evidence-based practice is said to be the current best approach to address these attributes. All healthcare professionals including physiotherapists need to adopt it. Numerous physiotherapy studies have been carried out to ascertain the attitudes towards, knowledge of, engagement in as well as the barriers of evidence-based practice. These studies were mostly carried out in the developed countries and almost none in the devloping African countries. By means of an exploratory cross-sectional study, deploying both quantitative and qualitative methods, this study investigated the Tanzanian physiotherapists attitudes towards the concept of evidence-absed practice. The study also examined the knowledge that they possess, that could enable them engage in evidence-based related activities. In addition, this study explored the barriers they experience while practicing evidence-based practice.
21
Ma, Man-fong, and 馬曼芳. "An audit of physiotherapy evidence-based practice in management of acute non-specific low back pain." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B39724876.
Full text
22
Schafer, D. Sue. "Environmental Scanning Behavior in Physical Therapy Private Practice Firms: its Relationship to the Level of Entrepreneurship and Legal Regulatory Environment." Thesis, University of North Texas, 1988. https://digital.library.unt.edu/ark:/67531/metadc331736/.
Full textAbstract:
This study examined the effects of entrepreneurship level and legal regulatory environment on environmental scanning in one component of the health services industry, private practice physical therapy. Two aspects of scanning served as dependent variables: (1) extent to which firms scrutinized six environmental sectors (competitor, customer, technological, regulatory, economic, social-political) and (2) frequency of information source use (human vs. written). Availability of information was a covariate for frequency of source use. Three levels of entrepreneurship were determined by scores on the Covin and Slevin (1986) entrepreneurship scale. Firms were placed in one of three legal regulatory categories according to the state in which the firm delivered services. A structured questionnaire was sent to 450 randomly selected members of the American Physical Therapy Association's Private Practice Section. Respondents were major decision makers, e.g., owners, chief executive officers. The sample was stratified according to three types of regulatory environment. A response rate of 75% was achieved (n = 318) with equal representation from each stratum. All questionnaire subscales exhibited high internal reliability and validity. The study used a 3x3 factorial design to analyze the data. Two multivariate analyses were conducted, one for each dependent variable set. Results indicated that "high" entrepreneurial level firms scanned the technological, competitor and customer environmental sectors to a significantly greater degree than "middle" or "low" level groups, regardless of type of legal regulatory environment. Also, "high" level firms were found to use human sources to a significantly greater degree than did lower level groups. Empirical evidence supporting Miles and Snow's (1978) proposition that "high" level entrepreneurial firms (prospectors) monitor a wider range of environmental conditions when compared to "low" level (defender) firms was presented. The results also confirmed that market and technological environments were scanned most often. Finally, the results added to the construct validity of the Covin and Slevin entrepreneurship scale and provided evidence of its generalizability to small businesses.
23
Ransom, Kay Johnson. "Imagery/Mental Practice: A Cognitive Technique for Teaching Adaptive Movement to Postoperative Spinal Patients." Thesis, North Texas State University, 1986. https://digital.library.unt.edu/ark:/67531/metadc332028/.
Full textAbstract:
Postoperative spinal patients were randomly assigned to one of three treatment conditions and were taught five adaptive movements by occupational therapists. The Control group received routine hospital occupational therapy; the Placebo group participated in an imagery relaxation task unrelated to the mental practice task of the Imagery group, which was shown line drawings of the adaptive movements under study, provided movement instructions, and asked to mentally practice each movement in a familiar, daily living situation. Thirty-five patients returned for follow-up, and a measure of outcome was obtained through the use of a quantified movement assessment instrument. Subjective ratings for anxiety, rumination, and imagery were made by the occupational therapists. An occupational motoric-symbolic rating scale was developed to assess the symbolic portion of the patient's job experience. Statistical procedures including chi square, analysis of variance, and Pearson correlation were performed. Results were in the predicted direction although statistical significance was not achieved. Possible explanations for the obtained results were discussed.
24
Born, Beverly R. "Effect of computer practice of component gait training facts on choice of ambulation aid and gait pattern by physical therapist assistant students." Morgantown, W. Va. : [West Virginia University Libraries], 2003. http://etd.wvu.edu/templates/showETD.cfm?recnum=2999.
Full textAbstract:
Thesis (Ed. D.)--West Virginia University, 2003.Title from document title page. Document formatted into pages; contains vi, 79 p. : ill. Vita. Includes abstract. Includes bibliographical references (p. 54-58).
25
Coombs, Sally. "Investigating the practice and capacity of paediatric occupational therapists to promote the physical activity levels of children in Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2017. https://ro.ecu.edu.au/theses/1996.
Full textAbstract:
Reorientation of the Australian health care system to meet the increasing burden of disease requires health workers to develop a focus on disease prevention and health promotion. In Western Australia (WA) a priority area for the promotion of health involves increasing the physical activity levels (PAL) of children in accordance with Australia’s Physical Activity and Sedentary Behaviour Guidelines. There is substantial support in the literature for paediatric occupational therapists, who assist children to participate in a range of meaningful occupations, to incorporate the promotion of children’s PAL into their service. However, there is a dearth of research world-wide regarding occupational therapists’ capacity for and involvement in health promotion, with no studies concerning their promotion of children’s PAL.
This study aimed to develop an understanding of paediatric occupational therapists’ involvement in, and capacity for, implementing health promotion activities to increase the PAL of children in WA aged 0-18 years. The application of the Building Health Promotion Capacity theoretical framework throughout the study enabled robust analysis of participants’ capacity for health promotion. A mixed methods design was employed with qualitative data illustrating and verifying the initial quantitative findings. Self-report questionnaires were completed by 86 paediatric occupational therapists in WA, representing 28% of the total population. This elicited cross-sectional quantitative data of participants’ involvement in and capacity for promoting the PAL of children, as well as barriers to their involvement. Following these, in-depth interviews were completed with 9 paediatric occupational therapists and thematically analysed to determine barriers and enablers to promoting children’s PAL.
Quantitative data revealed the majority of participants were involved in promoting the PAL of some of the individual children with whom they worked. In addition, half of the participants who worked with all children in a community setting had incorporated community-level strategies to increase children’s PAL. Reflecting an alignment with the Ottawa Charter for Health Promotion, participants implemented a combination of strategies relating to creating supportive environments, developing personal skills, and strengthening community action. Participants rated their capacity positively in relation to having the necessary knowledge, skill and commitment to promote children’s PAL; however, having access to necessary resources rated close to neutral. Analysis of quantitative and qualitative data revealed significant enablers to paediatric occupational therapists’ promoting children’s PAL include holding a belief in its importance and having confidence in their clinical skills and knowledge. Common barriers were a lack of resources, including time due to a heavy clinical workload and inadequate funding. In addition, commitment to increasing children’s PAL was impacted by competing clinical priorities, which were influenced by the priorities of each child’s family, limited recognition of occupational therapists’ competency, and a lack of managerial and political support for primary prevention activity.
This study raises awareness of the important contribution paediatric occupational therapists in WA have made towards promoting children’s PAL. Common barriers reveal the need for ongoing efforts to increase awareness amongst occupational therapists and health services’ management of the importance of a preventative approach to delivering health services. This study provides foundation information and valuable insights regarding paediatric occupational therapists’ views and experiences implementing health promotion activities in WA, which can be used to inform paediatric occupational therapy practice and education, and inform initiatives for building the health promotion capacity of a multidisciplinary workforce.
26
Matiukaitė, Milda. "Privačios kineziterapeuto veiklos poreikio ir galimybių įvertinimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130614_113101-51980.
Full textAbstract:
Darbo tikslas. Įvertinti privačios kineziterapeuto veiklos poreikį ir galimybes Lietuvoje.
Uždaviniai: 1. Apžvelgti ir išanalizuoti kineziterapeuto veiklą reglamentuojančią teisinę bazę bei oficialią statistiką apie privačios kineziterapeuto veiklos galimybes Lietuvoje. 2. Nustatyti privačios kineziterapeuto veiklos poreikį bei įvertinti kineziterapeutų požiūrį į tai. 3. Įvertinti pagrindinius privačiai kineziterapeuto veiklai Lietuvoje kliudančius veiksnius.
Tyrimo metodika. Atlikta mokslinės literatūros ir dokumentų analizė, anoniminė anketinė apklausa. Respondentai, Lietuvos Sveikatos mokslų universiteto ir Lietuvos Sporto universiteto kineziterapijos bakalauro ir magistratūros studijų studentai. Apklausos metu išdalinta 115 anketų, iš kurių 105 sugrąžintos teisingai užpildytos. Atsako dažnis 91,3 proc. Statistinė analizė atlikta programos SPSS 20.0 paketu.
Rezultatai. Kineziterapijos paslaugos priskiriamos prie licencijuojamų asmens sveikatos priežiūros paslaugų, todėl esminė sąlyga verstis privačia kineziterapeuto veikla yra asmens sveikatos priežiūros įstaigos licencija teikti kineziterapijos paslaugas. Kineziterapeuto profesija yra įtraukta į Lietuvos Respublikos reglamentuojamų profesijų sąrašą, tačiau specialistai yra nelicencijuojami, o esminė sąlyga verstis privačia kineziterapeuto veikla yra kineziterapeuto profesinė kvalifikacija. Respondentai 100 proc. pasisako už tai, kad Lietuvoje kineziterapeutams turi būti sudaromos sąlygos užsiimti privačia kineziterapeuto... [toliau žr. visą tekstą]The aim of the thesis. To evaluate the demand and opportunities of private physical therapy practice in Lithuania. Objectives: 1. To review and analyse the legal base regulating physical therapy practice and official statistics concerning the opportunities of private physical therapy practice in Lithuania. 2. To assess the demand of a private physical therapy practice and to evaluate the attitude of physical therapists towards this matter. 3. To evaluate the main factors hindering private physical therapy practice in Lithuania. Methods of the research. The analysis of scientific literature and documents and an anonymous questionnaire survey have been carried out. The respondents were the students of Bachelor‘s and Master‘s Physical Therapy studies of Lithuanian University of Health Sciences and Lithuanian Sports University. During the survey 115 questionnaires were handed out, 105 of which were returned correctly filled in. The response rate was 91.3 %. Statistical analysis has been carried out with the program package SPSS 20.0. Results. Physical therapy services are classified as licensed services of personal healthcare therefore an essential condition to practise physical therapy privately is the license of a personal healthcare institution to provide physical therapy services. The profession of a physical therapist is included in the list of professions regulated by the Republic of Lithuania, however, specialists are not licensed whereas an essential condition to... [to full text]
27
Shibu, Litty Mathew. "Examining the research-practice gap in Physical Therapy (PT) in the United States of America using knowledge translation interventions (KTIs) : a comparative study." Thesis, Brunel University, 2018. http://bura.brunel.ac.uk/handle/2438/17553.
Full textAbstract:
This research was undertaken to study the impact of single and multicomponent knowledge translation interventions (KTIs) on barriers to the integration of Clinical Practice Guidelines (CPG) into Clinical Decision Making (CDM) in the context of physical therapists (PTs) and find out which of the two KTIs was more effective. A literature review showed that research knowledge (e.g. CPG) in the field of PT (Physical Therapy) is not being integrated in to clinical practice (e.g. CDM), thus leading to a research-practice (R-P) gap in other words CPG-CDM gap. It is suggested in the literature that the management and behavioural aspects of PTs might be acting as barriers hindering the integration of the research knowledge into clinical practice consequently affecting the delivery of optimum patientcare. Remedial measures, namely KTIs, are suggested to address those barriers and to bridge the R-P gap. However, the phenomenon of the R-P gap, the causes of it and the possible interventions are not well understood concepts in the literature, particularly in the context of PTs. CPG for Venous Thromboembolism (VTE) in PT was chosen as the example of research knowledge. It was argued that barriers have the potential to affect CDM which in turn can affect the CPG-CDM gap. Lack of knowledge about CPG-CDM gap is a major limitation in the literature that is affecting the integration of CPG into CDM. Other gaps found in the literature that have the potential to affect CPG-CDM gap include management and behavioural variables as probable causes of CPG-CDM gap (or barriers), use of KTIs to bridge the CPG-CDM gap and, KTIs. Furthermore, lack of knowledge about relationship between barriers and CPG-CDM gap, KTIs and barriers, KTIs and CPG-CDM gap and the impact of KTIs (effectiveness) in bridging CPG-CDM gap were the other gaps found in the literature that had potential implications to CPG-CDM gap. These gaps were addressed in this research to some extent. Relationships between the independent variables (lack of knowledge of PTs in CPG, lack of favourable attitude of PTs towards CPG and lack of self-efficacy and motivation of PTs to integrate CPG into CDM) and the dependent variables (CDM and CPG-CDM gap) were defined and models were proposed. Further, it was posited that KTIs could impact barriers based on theories and models found in the literature that provided some basis to create the linkage between KTIs and management and behavioural barriers. Education material (EM) and virtual communities of practice (VCoP) were chosen as of the KTIs in this study. The models of Cabana et al. (1999) and Fischer et al. (2016), primarily, were used to ground the conceptual models represented by figures and equations. Methodologically, a positivist approach with an objective ontological stance was employed and a deductive approach and quantitative research method were used to address the research gaps. The research design included a longitudinal element and survey questionnaire. The target population was licensed PTs in the USA. Random sampling was used. Two groups of PTs were identified namely EM-group and VCoP group. Data was collected from the groups before and after administering the KTIs. The results showed that single and multicomponent KTIs impacted barriers in different ways. EM impacted lack of favourable attitude of PTs towards CPG, and lack of self-efficacy and motivation of PTs to integrate CPG into CDM as barriers and narrow the CPG-CDM gap. VCoP was found to impact the combination of four barriers and narrow CPG-CDM gap. In addition, barriers in groups of two were also impacted by VCoP and narrowed the CPG-CDM gap. Furthermore, a CPG knowledge score card and a corresponding CDM score card developed by the researcher were used to test the change behaviour of PTs in integrating CPG into CDM. This experiment showed that barriers existed and caused CPG-CDM gap and KTIs could narrow the CPG-CDM gap. The findings indicate that this research has contributed to knowledge in many ways, including unearthing the relationship between CPG-CDM gap and barriers, better understanding of KTIs, their relationship with CPG-CDM gap and barriers, gaining knowledge about the impact of single and multicomponent KTIs on single and multiple barriers and identification of methods to bridge the CPG-CDM gap.
28
Gazsi, Claudia Capelle. "Expectations of Physical Therapist Employers, and Academic and Clinical Faculty Regarding Entry-level Knowledge, Skills, and Behavior of Physical Therapist Graduates in Acute Rehabilitation Practice." Thesis, NSUWorks, 2011. https://nsuworks.nova.edu/hpd_pt_stuetd/19.
Full textAbstract:
Purpose: This study aimed to determine entry-level characteristics of new Doctor of Physical Therapy (DPT) graduates from the perspective of physical therapist employers (PTE), academic faculty (PTF), and final affiliation clinical instructors (CI); determine consensus of those characteristics; and determine if new DPT graduates met entry-level expectations in the adult, acute rehabilitation practice setting or where they have fallen short of expectations. Subjects: Participants included 35 CIs, 40 PTEs, and 43 PTFs, recruited from CARF accredited adult, acute rehab facilities (PTEs and CIs) and PT education programs with DPT graduates (PTFs). Method: A 4-round classic Delphi study was conducted with 3 participant panels through SurveyMonkey
TM
. Participants rated suggested characteristics and definitions for agreement and ranked them for importance on 5-point Likert scales ranging from “strongly disagree ” to “strongly agree ” and “very unimportant ” to “very important ”, respectively. Controlled feedback to participants included median and interquartile range with a summary of rating rationale responses by round. Results: Percent response of Likert scale agreement ratings and importance rankings determined consensus for “strongly agree ” and “very important ”. Overall Delphi study participation was 60.2%. Agreement and importance opinions of 53 participant generated entry-level characteristics and definitions showed a lack of consensus amongst participants. Five characteristics met 80% consensus for importance: safe, ethical, integrity, communication, and recognition of red flags for PT; only safe achieved consensus for agreement. Seventy-nine percent of participants agreed that new DPT graduates are meeting expectations, 15% agreed with concerns and 6% disagreed. Conclusions: Results appear to indicate consensus of select entry-level characteristics and majority agreement that new DPT graduates are meeting expectations albeit with some concerns in the adult, acute rehab practice setting. Agreement ratings and importance rankings appear to indicate divergence in opinions of new graduate characteristics. Recommendations: Further investigation is needed to understand differences in participant group opinions of entry-level expectations and determine consensus in other practice settings.
29
Cicirello, Nancy Ann. "The Role of Parent Coaching by Pediatric Physical Therapists: An Exploration of Current Practice." PDXScholar, 2005. https://pdxscholar.library.pdx.edu/open_access_etds/5184.
Full textAbstract:
Children with disabilities are not the sole clients of the pediatric physical therapy practitioner. However, research, best practice, and federal mandated legislation oblige therapists to transition from a traditional medical child-centered model of intervention to a family-centered model. This model places an emphasis on instructing parents, guiding their development as the dominant change agent for their children. Viewing parents as the predominant learner during intervention sessions is hampered by the paucity of family-related and adult-learning content in the professional preparation programs in higher education. It is further inhibited by professional attitudinal beliefs that continue to place a higher value on child characteristics for clinical decision making.
This qualitative study explored the scope of four private practice pediatric physical therapists' role as a parent coach. Each therapist was videotaped with two young children diagnosed with movement dysfunction and their mothers. Using a coaching framework presented by Hanft, Rush, and Shelden (2004), therapist/parent interactions were analyzed within the phases of initiation, observation/action, reflection, and evaluation. In addition, interpretation of these observations was also viewed through the theoretical lenses of adult learning and motor learning.
The findings indicated that parent coaching was minimally employed by these four therapists. The lack of family-centered focus, minimal adult learning theory knowledge/application and nominal motor learning application to parental handling skill development further establishes a diminished attention to the potential for building parent competence. The research-to-practice gap confirmed a need in professional preparation and continuing education. Recommendations are made for a holistic model that includes application of both adult and motor learning in conjunction with a coaching model.
30
Covert, Kelly L., and Courtney D. Hall. "Pills and Spills: An Assessment of Medications and Fall Risk in Older Patients." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/7785.
Full text
31
Hemingway, Belinda. "Applying health psychology theory to practice : cognitive behaviour therapy, motivational interviewing and mindfulness-based interventions for improving mental and physical health." Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/17865/.
Full textAbstract:
Introduction: Sleep is a key issue in maintaining good mental and physical health, but increasingly people are suffering with insomnia and experiencing poor health-related quality of life and daytime functioning as a result. Cognitive Behaviour Therapy for Insomnia (CBT-I) has been shown to be effective. However, there has been little research conducted which compares the efficacy of different treatment modalities on health-related quality of life alongside other measures related to patients’ experience of insomnia, such as daytime functioning, depression and anxiety; and treatments are not widely available or well understood. This original study therefore explored the effectiveness of three UK CBT-I treatment interventions, namely a manual-guided five-week group, a one-day workshop and an online programme on outcomes and participatory experience. Method: The study used a mixed methods approach. This included a randomised controlled pilot study assessing insomnia severity, beliefs and attitudes about sleep, depression, anxiety, daytime functioning and health-related quality of life, sleep diary measures, use of psychotropic medication, non-prescription drugs, and alcohol use across and between interventions. The secondary aim of the study was to explore participatory experiences of patients in each intervention through the completion of a patient experience questionnaire (analysed with content analysis), and semi-structured interviews from each intervention to form a case study (analysed with interpretative phenomenological analysis). Results: The findings revealed that CBT-I treatment resulted in significant improvements in insomnia severity, dysfunctional beliefs and attitudes about sleep, depression, anxiety, daytime functioning and health-related quality of life, mental health or insomnia related medication use, time in bed, sleep onset latency, wakefulness after sleep onset, and sleep efficiency across interventions. No significant differences between the effectiveness of the three CBT-I interventions were found, apart from more time in bed, for the online programme. Therefore, the one-day workshop and the online programme were assessed to be as effective overall on key outcomes as the five-week group. Secondary findings provided useful information on participant experience, which could provide future options and choice for individuals in determining what would be the most beneficial intervention for them based on their specific needs. Discussion The success of interventions in this pilot study therefore contributes to the ongoing development of accessible and effective stepped-care treatment. Findings from this research could also contribute to matching individual patient needs to treatment interventions. Through improving service delivery and funding training, savings could also be made by enabling sleep specialists to see only the most severe cases of insomnia, in addition to potential reductions of long-term use of medication in the general population. A challenge for the future is therefore to disseminate evidence-based therapies to both patients and health care professionals in order to make treatments more widely available and deployable, as well as enable better understanding of current approaches and options. Results will contribute to evidence for choice and accessibility to a greater range of interventions in future, led by feedback from participant experience. Conclusion: The results have positive implications for improving the management of insomnia for a large number of patients, and thereby improving the well-being, mental and physical health of many people with sleep problems. As the interdependence between mental and physical health is more widely recognised, health psychology can make a valued contribution to research, training and delivery of CBT-I interventions.
32
Dannapfel, Petra, Anneli Peolsson, and Per Nilsen. "What supports physiotherapists’ use of research in clinical practice? A qualitative study in Sweden." Linköpings universitet, Institutionen för medicin och hälsa, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-93865.
Full textAbstract:
Background Evidence-based practice has increasingly been recognized as a priority by professional physiotherapy organizations and influential researchers and clinicians in the field. Numerous studies in the past decade have documented that physiotherapists hold generally favorable attitudes to evidence-based practice and recognize the importance of using research to guide their clinical practice. Research has predominantly investigated barriers to research use. Less is known about the circumstances that actually support use of research by physiotherapists. This study explores the conditions at different system levels that physiotherapists in Sweden perceive to be supportive of their use of research in clinical practice. Methods Patients in Sweden do not need a referral from a physician to consult a physiotherapist and physiotherapists are entitled to choose and perform any assessment and treatment technique they find suitable for each patient. Eleven focus group interviews were conducted with 45 physiotherapists, each lasting between 90 and 110 minutes. An inductive approach was applied, using topics rather than questions to allow the participants to generate their own questions and pursue their own priorities within the framework of the aim. The data were analyzed using qualitative content analysis. Results Analysis of the data yielded nine favorable conditions at three system levels supporting the participant’s use of research in clinical practice: two at the individual level (attitudes and motivation concerning research use; research-related knowledge and skills), four at the workplace level (leadership support; organizational culture; research-related resources; knowledge exchange) and three at the extra-organizational level (evidence-based practice guidelines; external meetings, networks, and conferences; academic research and education). Conclusions Supportive conditions for physiotherapists’ use of research exist at multiple interdependent levels, including the individual, workplace, and extra-organizational levels. Research use in physiotherapy appears to be an interactive and interpretative social process that involves a great deal of interaction with various people, including colleagues and patients.
33
Armour, Erin Nicole. "Animal-Assisted Therapy: An Adjunctive Intervention for Reducing Depression and Anxiety in Female College Students with Physical Disabilities and Guidelines for Implementation into Psychotherapy Practice and Research." Wright State University Professional Psychology Program / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych1312224111.
Full text
34
Simpson, Helene. "Physiotherapeutic management of acute ankle sprains : a survey of clinical practice in the Western Cape and comparison thereof to evidence based guidelines." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85818.
Full textAbstract:
Thesis (MScPhysio)--Stellenbosch University, 2013.ENGLISH ABSTRACT: Ankle sprains are reportedly the most common lower limb injury amongst active individuals. Aim: The aim of this study was to investigate whether treatment interventions employed by physiotherapists during the first week of functional rehabilitation of an ankle sprain, at primary care level, were aligned with evidence-based guidelines for acute ankle sprains. Design: A descriptive cross-sectional study was conducted. Participants: A total of 91 physiotherapists from the Western Cape Metropole (WCM) completed questionnaires. Method: Physiotherapists' treatment interventions were recorded based on a case study of a typical moderately sprained ankle. According to classification of the West Point Ankle Grading System, a moderate sprain is a partial macroscopic tear of the ligaments with moderate pain, swelling and tenderness with some loss of motion and mild to moderate instability of the joint. Anticipated return to sport is two to six weeks. Relative occurrence of selected interventions during the first week of rehabilitation was calculated. Chi-square tests were used to compare differences between physiotherapists' responses and the recommendations of the practice guidelines. Results: Physiotherapists' overall selections of treatment interventions were in alignment with the "Koninklijk Nederlands Genootschap voor Fysiotherapie" (KNGF) guidelines and correlated positively to the recommendations stipulated by KNGF therein. Physiotherapists indicated many interventions for which good evidence exists: compression, cryotherapy, early mobilisation, and neuromuscular exercises. It is of concern that 49% – 91% (n = 91) physiotherapists indicated some form of manual mobilisations for which there is a lack of evidence, and more than two-thirds indicated the application of an electrotherapy intervention, which is not recommended in the guidelines. Conclusion: Physiotherapists should reconsider interventions for which there is no evidence as this may reduce cost of care, without compromising patient outcomes.
AFRIKAANSE OPSOMMING: Verslae dui daarop dat verstuite enkels die mees algemene besering van die onderste ledemaat van aktiewe persone is. Doelwit: Die doel van hierdie ondersoek was om vas te stel of fisioterapeute in primere gesondheidsorg se keuse van rehabilitasie tegnieke gedurende die eerste week van funksionele rehabilitasie na 'n enkel besering, op koers is met bewysgebaseerde kliniese riglyne in die hantering van akute enkel beserings. Ontwerp: 'n Beskrywende deursnit ondersoek is geloods. Deelnemers: 'n Vooraf opgestelde vraelys is deur 91 fisioterapeute in die Weskaapse metropool voltooi. Metodiek: 'n Gevalle studie is aangebied van 'n tipiese matige verstuite enkel. Die respondent moes hulle tegnieke in die hantering van die geval aandui. Volgens die klassifikasie van die “West Point Grading System” word so 'n verstuiting gekenmerk deur makroskopiese gedeeltelike skeur van die enkel ligamente, matige pyn, swelsel en tasteerheid van die area. Dit gaan gepaard met 'n effense verlies van beweging en stabiliteit van die gewrig. Die prognose vir so 'n besering om na sport terug te keer is om en by twee tot ses weke. Die insidensie van aanwending van geselekteerde metodes van behandeling gedurende die eerste week en die verhouding met die vooraf geselekteerde behandelings riglyne opgestel deur die “Koninklijk Nederlands Genootschap voor Fysiotherapie” (KNGF) is bereken en ontleed. Die “Chi-square” toets is gebruik om die verskil te bereken tussen die respons van die Fisioterapeute en die aanbevelings van die kliniese riglyne. Resultate: Oorkoepelend is die keuses van behandelings tegnieke deur die fisioterapeute in lyn met die riglyne van die 'Koninklijk Nederlands Genootschap voor Fysiotherapie' (KNGF). Verskeie sinvolle behandelings is gekies waarvoor daar positiewe aanduidings was, byvoorbeeld: lokale kompressie, ys terapie, en oefeninge. Dit is egter kommerwekkend dat 49 – 91% (n=91) van die deelnemers 'n manuele tegniek ingesluit het waar daar tans gebrekkige aanduidings voor bestaan. Verder, het meer as twee derdes van die fisioterapeute aangedui dat hulle elektroterapie sou gebruik wat nie in riglyne aanbeveel word nie. Gevolgtrekking: Fisioterapeute moet die gebruik van tegnieke waarvoor daar nie duidelike bewyse in die literatuur bestaan nie, heroorweeg, want dit mag die koste van behandeling verminder, sonder om die positiewe resultate van herstel, negatief te beinvloed.
35
Serotta, Jennifer Lynn. "Increasing Physical Activity in Post Liver Transplant Patients." UNF Digital Commons, 2014. http://digitalcommons.unf.edu/etd/546.
Full textAbstract:
The purpose of this quality improvement project was to increase physical activity among postoperative adult liver transplant patients, improve documentation of daily activity, and ultimately influence quality of life (QOL). Quality of life has been shown to improve dramatically after liver transplant, as patients enter transplant severely debilitated with limitations on their physical activity which carry over following transplant. The literature supports that liver transplant patients should engage in physical activity which may improve QOL. Thirteen liver transplant patients were recruited within the seven days of their post-operative hospitalization. Twelve patients consented, were educated about the benefits of walking, given instructions for how to gradually increase their walking activity, and how to track this activity in a daily log. The International Physical Activity Questionnaire (IPAQ) that calculates level of physical activity (metabolic equivalent or MET score) was conducted at baseline and six weeks. Patients were also asked to rate their perceived quality of life on a ten point scale. Eight patients completed the study with four patients medically unable to complete the walking program. Baseline MET and QOL scores were compared between Time 1 and Time 2 (six weeks). The IPAQ baseline score increased from 407.5 MET to 1,711.5 MET, however, results were not statistically significant. Quality of life improved from Time 1 average score of 5.5 (SD=2.51) to Time 2 average score of 8.25 (SD=1.67) and was statistically significant (P=0.27). Liver transplant patients gradually increased their walking activity over a six week period and documented that activity daily. QOL was also purported to increase which is consistent with findings in the literature. Implementing a post liver transplant walking program is feasible and beneficial for patients and should be a standard of care.
36
Ljung, Andreas. "Behandlingsformer bland fysioterapeuter inom svensk sjukvård avseende rotatorcuffsrelaterad smärta hos idrottare : En enkät - och litteraturstudie." Thesis, Umeå universitet, Idrottsmedicin, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-153894.
Full textAbstract:
Bakgrund:Axelsmärta är vanligt förekommande bland idrottare och den vanligaste orsaken till detta är rotatorcuffsrelaterad smärta. Axeln är en komplex led, både anatomiskt och kinematiskt. Inom sjukvården ska man arbeta evidensbaserat och tidigare studier har gjorts i andra länder för att jämföra nuvarande praktik vid rotatorcuffsrelaterad smärta med nuvarande evidens. Ingen sådan studie har dock genomförts i Sverige. Frågeställningar:Vilka typer av behandlingsmetoder används vid rotatorcuffsrelaterad smärta bland fysioterapeuter i Sverige? Hur ser den nuvarande evidensen ut vid behandling av rotatorcuffsrelaterad smärta? Metod:En elektronisk enkätstudie utformades och hade ett patientfall med en vanlig presentation av en patient med rotatorcuffsrelaterad smärta som grund för respondenter att grunda sina svar på. Utöver detta genomfördes också en litteraturstudie för att undersöka nuvarande evidens. Resultat:Överlag hade fysioterapeuter grundat sin behandling på rådgivning/utbildning och träningsterapi. Även andra passiva behandlingsmetoder förekom som alternativ fysioterapeuter skulle använda sig av. Diskussion:Svenska fysioterapeuter använder sig primärt av träningsterapi vilket grundar sig på nuvarande evidens. Passiva behandlingsmetoder används trots evidens kring dess låga effekt vid rotatorcuffsrelaterad smärta och låg kostnadseffektivitet.Background:Shoulder pain is common among athletes and the most common cause of this is rotatorcuffrelated pain. The shoulder is a complex joint, both anatomically and kinematically. In the field of health care, one should work evidence-based and previous studies have been conducted in other countries to compare current practice in rotator cuff-related pain with current evidence. However, no such study has been conducted in Sweden. Problem statments:What types of treatment methods are used in rotator cuff-related pain among physiotherapists in Sweden? What does the current evidence look like in the treatment of rotator cuff-related pain? Methods:An electronic survey was designed, which included a patient case with a typical presentation of a patient with rotator cuff-related pain as a basis for respondents to base their answers. In addition, a literature study was also conducted to investigate current evidence. Results:Overall, physiotherapists based their treatment on counseling / education and exercise therapy. Other passive treatment methods were also found that physiotherapists would use as alternative treatments. Discussion:Swedish physiotherapists primarily use exercise therapy, which is based on current evidence. Passive treatment methods are often used despite evidence of its low effect on rotator cuff-related pain and low cost effectiveness.
37
Hoffman, Larisa Reed. "Practice Related Plasticity: Functional and Cortical Changes in Individuals with Spinal Cord Injury Following Four Different Hand Training Interventions." Scholarly Repository, 2008. http://scholarlyrepository.miami.edu/oa_dissertations/39.
Full textAbstract:
Injury to the cervical spinal cord results in complete or partial loss of arm and hand function, severely limiting the performance of daily activities. Deficits in hand function in individuals with cervical spinal cord injury (SCI) are primarily due to a loss of descending motor pathways that are vital for fine control of the hand and fingers. In addition to these deficits, secondary plastic reorganization may create further loss of function. This thesis will explore the following questions: 1. What are the similarities and differences between cortical organization of muscles affected by a cervical SCI to those not affected by the injury?; 2. Do individuals with cervical SCI improve in hand function and cortical organization after an intensive hand training intervention?; 3. Which physical therapy intervention provides the optimal conditions by which to improve hand function following cervical SCI? In chapter 2 we compare cortical motor maps of transcranial magnetic stimulation (TMS) evoked responses of muscles rostral and caudal to the injury to those of ND individuals. The cortical maps of the biceps brachii or the thenar muscles were constructed, and compared between ND individuals and individuals with SCI. The motor threshold (MT) for the thenar muscles in individuals with SCI was significantly higher than ND individuals. The purpose of the study described in chapter 3 was to compare the functional and cortical changes associated with two different interventions: unimanual or bimanual massed practice training, both combined with somatosensory stimulation. There was a significant difference between pre- and post-intervention scores on tests measuring unimanual hand function, bimanual hand function, and sensory function. This difference was associated with a difference between pre- and post-intervention cortical map area. The purpose of the study described in chapter 4 was to compare clinical and cortical changes associated with either a delayed intervention control period or a combined intervention of massed practice training with electrical stimulation. Participants were randomly assigned to one of two groups: delayed intervention control group or immediate intervention group. Participants were also randomly assigned to one of four groups: unimanual training with somatosensory stimulation, bimanual training with somatosensory stimulation, unimanual training with functional electrical stimulation, or bimanual training with functional electrical stimulation. There was a significant difference between the control and immediate intervention group on the test measuring unimanual hand function. Participants in the bimanual group performed significantly better on the test measuring bimanual hand function. There was a significant difference between the control group and immediate intervention group in cortical map area. In chapter 5 we discuss the clinical relevance of the results of the studies described in three prior chapters. Conclusions drawn include the idea that cortical maps of muscles caudal to the level of injury in individuals with SCI have higher motor thresholds than ND participants. Individuals with tetraplegia can improve in hand function and sensation with a physical therapy intervention of massed practice training combined with somatosensory stimulation. Finally, the type of training (unimanual massed practice or bimanual massed practice) influences the type of improvements gained, however the type of electrical stimulation does not influence the clinical outcome.
38
Carroll, Mark J. "Physical Therapists' Perception of Risk of Violating Laws and Rules Governing the Practice of Physical Therapy and/or Their Personal Moral and Ethical Values When Failing to Provide Treatment for an Uninsured or Underinsured Patient." Bowling Green, Ohio : Bowling Green State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1193091796.
Full text
39
Bergman, Birgitta. "Being a physiotherapist : professional role, utilization of time an d vocational strategies." Doctoral thesis, Umeå universitet, Institutionen för samhällsmedicin och rehabilitering, 1989. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-141114.
Full textAbstract:
In a research series carried out between 1984 and 1988 in the county of Västerbotten in northern Sweden, various aspects of the professional role and work of physiotherapists were studied. A variety of research methods were used: questionnaires (n = 163), a time budget study (n = 149), and a qualitative interview (n = 24). Physiotherapy was considered varied and creative, but not well defined or very specific in its objectives. Physiotherapy is still a predominantly female profession, though the proportion of male physiotherapists was increasing. The proportion entering full-time employment in physiotherapy increased due both to the greater number of male graduates and the increasing number of women working full-time. A partial internal division of work between the sexes has arisen. More women than men are employed in in-patient care, while proportionately more men worked outside institutions. Most respondents were firmly in control of their treatment methods, but were somewhat restricted in their freedom to decide whom to treat, and when to terminate treatment. Few had carried out any research concerning treatment and results. The time budget study showed that the treatment of patients took up on average 33% of the physiotherapists’ gross working hours and was the largest single task. Continuing education accounted for 5%, development work for 1% and the remaining occupational tasks for 38%. Occupational area was the most important factor in explaining the distribution of working hours, when other factors were kept constant. Neither sex nor gender markedly affects the carrying out of tasks other than treatment. Nor does professional post particularly affect time utilization other than for administrative tasks. This profession has a double objective: care and service more generally and to provide physiotherapy in particular—both equally important. In order to improve the quality of physiotherapy, and at the same time to extend their own specific, theoretical body of knowledge, a number of physiotherapists have reappraised and extended their concept of the profession to include management and research in their everyday work. Conclusion: The fact that occupational area exercises such a profound influence on the work of physiotherapists, taken together with the slight influence that professional post has, reveals that the individual physiotherapist must be prepared to play a broadly defined professional role. There seems to be a wealth of skill and expertise available within the profession, which could, however, be more efficiently used if the management and organization of physiotherapy service were better adapted to serve its objectives, and if these were better delineated and communicated.digitalisering@umu.se
40
Duthie, Jennifer. "Physiotherapy student practice education : students' perspectives through cultural-historical activity theory." Thesis, University of Stirling, 2017. http://hdl.handle.net/1893/25656.
Full textAbstract:
Physiotherapy student practice education, the focus of this thesis, is a highly valued, yet scarcely researched component of pre-registration physiotherapy education. Moreover, the student voice is largely absent from existing research. In this study, 14 physiotherapy students’ perspectives of practice education were gained through email communications (n=13) and face-to-face interviews (n=12). To provide an in-depth and provocative view, physiotherapy student practice education was analysed as a type of activity system, employing concepts borrowed from cultural-historical activity theory (CHAT). Interacting activity systems, objects, players, rules, norms, divisions of labour, mediating artefacts, intra- and inter-systemic contradictions were explored and identified. The findings show that assessment skewed students’ object motives. Practice educators were positioned as powerful gatekeeper/assessor gift-holders. Physiotherapy students enacted ‘learning practice’ norms, such as extensive reading, and adopted the position of practice educator-pleaser. Students sometimes refrained from speaking when they wanted to, for example, to challenge unprofessional staff behaviour. Students were reluctant to show themselves as learners, feeling instead that they needed to present themselves as knowledgeable, able practitioners. However, students did not easily recognise themselves as able contributors to practice. For students, knowledge for practice was focussed on patient assessment and treatment, but the level, depth and volume of knowledge required was perceived differently across distinctive practice areas. Intra- and inter-systemic contradictions, such as the skewing of student object motives towards assessment, and away from whole-patient-centred care, are highlighted. The study findings therefore have implications for patient care as well as for the object of physiotherapy student practice education, student learning and assessment and workplace learning. A cross-profession review of the object of physiotherapy student practice education, to include the voice of service users, students, practice educators, HEIs and service providers, is recommended. A review of physiotherapy student practice-placement assessment, which seemed to be at the core of PSPE dynamics and conditions, is recommended, to take account of the extent to which assessment can influence students’ PSPE object motives, PE/student dynamics and student/patient interactions. Developmental Work Research is proposed as a way forward for future research in this area.
41
Bonança, Daniela. "Intervenção da Fisioterpia após ligamentoplastia do LCA: estudo série de casos." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2014. http://hdl.handle.net/10400.26/6085.
Full textAbstract:
Relatório do Projecto de Investigação apresentado para cumprimento dos requisitos
necessários à obtenção do grau de Mestre em Fisioterapia, área de especialização em
Fisioterapia em Condições Músculo-Esqueléticas.Objectivo: Este estudo teve por objectivo descrever a prática clínica e os resultados da intervenção da fisioterapia, às 6, 12 e 24 semanas, em indivíduos após ligamentoplastia do LCA. Introdução: O sucesso da ligamentoplastia do LCA está directamente relacionado com a reabilitação após a realização da mesma, permitindo ao utente o retorno a um estilo de vida activo. Apesar de se saber que um programa de reabilitação estruturado e baseado na evidência tem um papel fulcral nos resultados após cirurgia, e de existir consenso sobre a efectividade destes programas após a cirurgia, o mesmo não se pode afirmar acerca de quais os melhores componentes que devem fazer parte desse programa. Tendo em conta a heterogeneidade encontrada na literatura, no que diz respeito à nomenclatura utilizada, às diferenças de duração dos protocolos e às variações significativas nas recomendações dos cuidados de reabilitação, torna-se primordial a realização de uma caracterização da prática clínica da fisioterapia em indivíduos submetidos a ligamentoplastia em Portugal, e consequentemente, descrever quais os resultados obtidos ao nível da incapacidade funcional, intensidade de dor e percepção global de melhoria. Metodologia: Realizou-se um estudo de série de casos, com uma amostra de conveniência, do tipo não probabilístico, constituída por 14 utentes referidos para 4 clínicas de fisioterapia e para 3 hospitais, e que cumpriam os critérios de inclusão e exclusão estabelecidos. Os utentes foram avaliados em 4 momentos pré-definidos: na 1ª sessão de fisioterapia e às 6, 12 e 24 semanas após cirurgia. Os resultados obtidos após intervenção da fisioterapia foram descritos ao nível da incapacidade funcional, da intensidade da dor e da percepção global de melhoria. Paralelamente realizou-se uma caracterização da prática clínica relativamente às modalidades utilizadas, número de sessões de tratamento e duração do episódio de cuidados. Resultados: Observou-se uma tendência de melhoria ao longo das 24 semanas em todas as dimensões da Knee injury and Osteoarthritis Outcome Score (KOOS) e na Escala Numérica da Dor (END), assim como na percepção de melhoria pelo utente, medida através da Patient Global Impression of Change Scale (PGIC). Às 6 semanas, as melhorias nas variáveis de resultados foram superiores às encontradas às 12 e 24 semanas, ao nível da incapacidade funcional (à excepção das dimensões KOOS – actividades desportivas e de lazer e KOOS - qualidade de vida) e dor. Relativamente à intervenção da fisioterapia observou-se uma grande heterogeneidade nas modalidades e procedimentos utilizados. Em média realizaram-se 58,14 (±14,15) sessões, sendo que 71 foi o número de sessões mais utilizado. Conclusão: Os resultados deste estudo sugerem que apesar da heterogeneidade da prática clínica, a intervenção da fisioterapia proporciona melhorias ao nível da capacidade funcional e da dor, em indivíduos submetidos a ligamentoplastia do LCA e que essas melhorias são percepcionadas pelos participantes como clinicamente importantes.
Abstract: Objective: The aim of this study was to describe the clinical practice and the results of physical therapy intervention, at 6, 12 and 24 weeks, in subjects after ACL reconstruction. Introduction: The success of ACL reconstruction is directly related with the rehabilitation after the surgery, allowing the patient to an active lifestyle return. Despite knowing that a rehabilitation program based on evidence and well designed has a key role in the results after surgery, the same cannot be said about what the best components that should make part of this program. Taking into account the heterogeneity found in the literature, whether at the level of the nomenclature used, whether at level of the differences in duration of the protocols, as well as the existence of recommendations of rehabilitative care that present significant variations at the international level, it becomes paramount to achieving a characterization of the clinical practice of physical therapy in subjects after ACL reconstruction in Portugal, and consequently describe the results obtained regarding to functional disability and pain intensity. Methodology: A case series design with a convenience sample of 14 patients referred to 7 different outpatients physical therapy settings, that fulfilled the pre- established inclusion and exclusion criteria. Patients were evaluated in four pre-defined moments: in the first session of physiotherapy and at 6, 12 and 24 weeks after surgery. The results obtained after physiotherapy intervention were described at the level of functional disability, pain and global perception of change. Subsequently, it was proceeded the characterization the practice of physical therapy regarding to the modalities used, the number of treatment sessions and duration of the episode of care. Results: It was found that there was a trend of improvement, clinically important, over the 24 weeks in all dimensions of Knee injury and Osteoarthritis Outcome Score (KOOS) and in the Numerical Pain Rating Scale (NPRS). At 6 weeks, improvements were superior to those found at 12 and 24 weeks, at the level of functional disability (with the exception of the KOOS-sports and recreation function and KOOS-knee related quality of life dimensions) and pain. As regards the intervention of physical therapy found that the heterogeneity encountered both at the level of clinical practice as evidence, are difficult to compare. On average 58,14 (±14,15) sessions were held, with 71 was the most commonly used sessions numbers. Conclusion: The results of this study suggest that in spite of the heterogeneity of clinical practice, physical therapy intervention provides improvements in terms of functional disability and pain in subjects after ACL reconstruction.
42
Wressle, Ewa. "Client participation in the rehabilitation process." Doctoral thesis, Linköping : Univ, 2002. http://www.bibl.liu.se/liupubl/disp/disp2002/med722s.pdf.
Full text
43
Moniz, Sara. "Caracterização da intervenção da Fisioterapia em indivíduos com dor crónica lombar e seus resultados a nível da dor e capacidade funcional." Master's thesis, Escola Superior de Saúde do Instituto Politécnico de Setúbal, 2012. http://hdl.handle.net/10400.26/4254.
Full textAbstract:
Dissertação de Mestrado em FisioterapiaObjectivo: Este trabalho teve como objectivo contribuir para o processo de adaptação cultural da Quebec Back Pain Disability Scale (QBPDS), através do estudo da sua Validade de Constructo e Poder de Resposta, e caracterizar a intervenção realizada pela fisioterapia (FT) e os resultados obtidos em utentes com dor crónica lombar (DCL). Introdução: A redução da incapacidade funcional associada à DCL é um dos principais objectivos e resultados da intervenção da FT nestes utentes. Com o intuito de proceder à sua avaliação, pode recorrer-se a um conjunto de diferentes instrumentos de medida, sendo a QBPDS uma das escalas mais utilizadas para medir a incapacidade. Embora esta tenha sido anteriormente adaptada para a população portuguesa, não foram determinadas as suas propriedades psicométricas. Por outro lado, apesar da literatura referir que os serviços de FT são bastante procurados por indivíduos com DCL, em Portugal, a informação existente sobre a prática da FT nesta condição clínica e sobre os resultados obtidos é ainda escassa. Metodologia: Recorreu-se a um estudo de coorte prospectivo com uma amostra de conveniência, constituída por 119 indivíduos com DCL, que iniciaram fisioterapia em 16 centros/ hospitais/ clínicas de Fisioterapia/ utentes no domicílio, e cumpriam os critérios de inclusão e exclusão estabelecidos. Os utentes foram avaliados no momento pré-intervenção e num segundo momento até 6 semanas depois. As propriedades psicométricas da Quebec Back Pain Disability Scale –Versão Portuguesa (QBPDS-VP) avaliadas foram a Validade de Constructo e o Poder de Resposta. Posteriormente procedeu-se à caracterizar a prática da FT quanto às modalidades utilizadas, número de sessões de tratamento e duração do episódio de cuidados. Adicionalmente descreveu-se os resultados obtidos após a intervenção da FT, ao nível da dor e incapacidade. Resultados: Os resultados revelaram um resultado positivo para a Validade de Constructo da QBPDS-VP e um elevado Poder de Resposta (área abaixo da curva ROC = 0,736; IC95%=0,639-0,833). Apresenta ainda uma diferença mínima clinicamente importante (DMCI) de 7 pontos (sensibilidade =72,4% e especificidade = 69,8%). Aquando da intervenção da FT em casos de DCL, existe uma grande diversidade de modalidades realizadas combinadas em diferentes pacotes de intervenção, e verificou-se um número médio de sessões realizadas de 14,22 visitas por utente, numa duração de episódio de cuidados maioritariamente superior a 6 semanas. Os resultados da intervenção revelaram uma redução significativa da incapacidade funcional e da intensidade da dor (z= -7,440 e z=-6,625; respectivamente, p=0,000). Conclusão: Os resultados do presente estudo revelam que a QBPDS-VP possui uma boa Validade de Constructo e Poder de Resposta. Revela ainda que a intervenção da FT em casos de DCL, apesar de apresentar grande diversidade nas modalidades utilizadas por vezes até divergentes das recomendações dadas pelas normas de orientação clínica, e uma duração do episódio de cuidados aparentemente superior aos dados fornecidos pela literatura; proporciona uma redução significativa dos níveis de dor e incapacidade em utentes com DCL.
Objective: The aim of this study is to contribute to the process of cultural adaptation of the Quebec Back Pain Disability Scale (QBPDS), through the study of its Construct Validity and Responsiveness, and characterize the intervention performed by physical therapy (PT) and the results in patients with chronic low back pain (CLBP). Introduction: The reduction in functional disability associated with CLBP is one of the main purpose and results of physical therapy intervention in these patients. With the intention of evaluating them, the professionals can resort to a set of different measuring instruments, and the QBPDS is one of the most commonly used scales for measuring disability. Although this has been previously adapted for the Portuguese population, it was not determined its psychometric properties. Moreover, despite the literature noted that services for PT are quite sought by individuals with CLBP, in Portugal, the existing information on the practice of PT in this clinical condition and the results obtained are still scarce. Methodology: It was used a prospective cohort study with a convenience sample consisting of 119 individuals with CLBP, who started therapy at 16 centers / hospitals / Physiotherapy clinics / household physiotherapy, and fulfilled the inclusion and exclusion criteria established . The patients were assessed at pre-intervention and a second time after 6 weeks. Psychometric properties of the Quebec Back Pain Disability Scale-Portuguese version (QBPDS-VP) were evaluated to construct validity and responsiveness. Subsequently, it was proceeded to the characterization the practice of FT regarding to the modalities used, the number of treatment sessions and duration of the episode of care. Additionally it was described the results obtained after the intervention of the PT, the level of pain and the disability. Results: The results revealed a positive result for the Construct Validity of the QBPDS- VP and a high responsiveness (area under the ROC curve = 0.736, 95% CI 0.639 to 0.833). Minimal clinically important difference (MCID) also presents a 7-point (sensitivity = 72.4% and specificity = 69.8%). In the PT intervention in cases of CLBP there is a great diversity of procedures performed combined in different packages intervention, and it was found an average number of sessions of 14.22 visits per user, with a duration of the episode of care mostly higher to 6 weeks. The results of the intervention showed a significant reduction of disability and pain intensity (z = -7.440 z = -6.625, respectively, p = 0.000).Conclusion: The results of this study show that QBPDS-VP has a good construct validity and responsiveness. It also reveals that the PT intervention in cases of CLBP, despite showing great diversity in the methods used, that sometimes are also divergent to the recommendations given by clinical guidelines, and with a duration of episode of care apparently superior to data provided by the literature, provides an significant reduction in the levels of pain and disability in patients with DCL.
44
Shiwa, Sílvia Regina. "Perfil do fisioterapeuta do Estado de São Paulo." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5170/tde-24112015-102529/.
Full textAbstract:
INTRODUÇÃO: Conhecer o perfil dos fisioterapeutas é o primeiro passo para dar início ao desenvolvimento de ações em busca do crescimento, reconhecimento e valorização da profissão. No Estado de São Paulo estão registrados mais de 34% dos fisioterapeutas brasileiros, é o Estado em que foi criado o primeiro curso de fisioterapia e que possui o maior número de universidades com o curso de fisioterapia em atividade. O curso de fisioterapia da Faculdade de Medicina da Universidade de São Paulo (FMUSP) é o pioneiro no país. Já foi estudado o perfil do fisioterapeuta em outros estados, especialidades, universidades ou locais de trabalho específicos, porém não temos conhecimento do atual perfil do fisioterapeuta do Estado de São Paulo. OBJETIVO: Descrever o perfil do fisioterapeuta do Estado de São Paulo e do egresso do curso de fisioterapia da FMUSP segundo os aspectos demográfico, formativo e de atuação profissional. Como objetivo secundário, avaliar se há associação entre o tipo de instituição cursada, o local de trabalho e o ano de graduação com a renda salarial mensal. MÉTODO: Todos os fisioterapeutas inscritos no Conselho Regional de Fisioterapia e Terapia Ocupacional da 3ª Região com pelo menos um ano de graduado foram convidados a participar do estudo que consistia em responder um questionário online (Survey Monkey®). Para assegurar a confidencialidade da identificação do profissional, o envio foi realizado pelo Crefito-3 e os questionários não exigiam identificação. Todos os dados foram analisados e foram apresentados em frequências absoluta e relativa. As associações foram analisadas pelo Teste de Qui Quadrado. RESULTADOS: No total 2323 fisioterapeutas participaram da pesquisa, provenientes de todo o Estado de São Paulo, sendo 110 graduados na FMUSP. A amostra geral consistiu em 80% de mulheres, 62% graduou-se entre os anos de 2001 e 2010, 83% graduou-se em uma universidade privada, cerca de 85% dos profissionais realizaram alguma pós graduação, sendo 66,7% pós-graduação lato sensu e 18,3% stricto sensu. As áreas de especialização lato sensu mais procuradas foram a ortopedia (12,7%), cardiorrespiratória (12,0%), acupuntura (10,5%) e neurologia (8,5%), porém 19,0% realizaram uma pós-graduação em uma área ainda não reconhecida pelo Conselho Federal de Fisioterapia e Terapia Ocupacional, como a hidroterapia, geriatria, fisiologia do exercício e gestão hospitalar. Em relação ao stricto sensu, 10,8% possuem título de mestre e 7,5% de doutores. Dos entrevistados, 83,2% atua como fisioterapeuta e em 67,3% a fisioterapia é a sua única fonte de renda. O local de trabalho predominante é o atendimento domiciliar (35,4%) e a renda bruta mensal foi de acima de R$3.000,00 em 35,9% dos casos, sendo que os profissionais com mais tempo de formado ganham mais do que os graduados há menos tempo, e os que atuam em universidades são melhores remunerados. Trinta e sete por cento dos participantes estão parcialmente satisfeitos com a profissão, 98% atualizam-se participando de congressos, cursos e leitura de artigos científicos, apresentam baixa adesão aos sindicatos e associações de classe (15,8%) e somente 13% tinha conhecimento sobre o valor do piso salarial atual. O egresso da FMUSP apresentou como diferencial comparado ao perfil do fisioterapeuta do Estado de São Paulo, a maior dedicação à docência e pesquisa, maior atuação nas universidades, melhores remunerações e encontraram menores dificuldades na inserção no mercado de trabalho. Na análise secundária, não foram encontradas associadas entre a renda salarial mensal e o tipo de instituição, a atuação em clínicas próprias está associada a melhores remunerações e os graduados há mais tempo possuem melhores salários. CONCLUSÃO: A classe de fisioterapeutas do Estado de São Paulo é formada predominantemente por mulheres jovens, graduadas após 2001 em uma universidade privada, com pós-graduação lato sensu, autônoma, realizando atendimentos domiciliares, com renda mensal entre R$1.500,00 a R$6.000,00, estão parcialmente satisfeitos com a profissão, possuem a fisioterapia como única fonte de renda e mantém-se atualizados através da participação em congressos, cursos e leitura de artigos científicosINTRODUCTION: To know of professional profile is the first step to start actions development to pursuit growth, recognition and appreciation of the profession. In Sao Paulo are registered more than 34% of brazilian physical therapists, is the state which first physical therapy course and has the largest number of universities with physical therapy course. The profile of physical therapist in other states or specific area has been studied, but do not know about the current profile of the physical therapist in the State of Sao Paulo. OBJECTIVE: To present the profile of the physical therapist in the Sao Paulo State according to socio-demographics, academic background, scientific and technical knowledge, labor Market and knowledge of current legislation. METHOD: All registered physical therapist in Crefito-3 with at least one year of graduate were invited to participate in the study that consist in to answer an online survey (Survey Monkey®). We did not acess to professional identification and only Crefito-3 sent e-mail to all physical therapist. All data were analyzed and organized in tables with absolute and relative frequences. Results: In total 2363 physical therapists participated in the survey from all over the state. The sample consisted of 80% women, 62% graduated between 2001 and 2010, 83% graduated from a private university, 85% of professional performed some post graduate, 66,7% lato sensu and 18,3% stricto sensu. The main areas of post graduate are orthopedics (12,7%), cardiothoracics (12%), acupuncture (10,5%) and neurology (8,5%), but 19% performed a post graduate not recognized by COFFITO such as hydrotherapy, geriatrics, exercise physiology and hospital management. Regardind the stricto sensu, 10,8% have a master\'s degree and 7,5% of doctors. Of the participants, 83,2% works with physical therapy and 67,3% had the physical therapy such their liny source of money. The predominant place of work is the home care (35,4%) and earn R$1500,00 to R$3000,00 by month in 34,4% of cases and professional with some years of graduation earn more than graduates less time and those who work in universities are better salaries. 37% of participants are partially satisfy with the profession, 98% updated through congress, courses an reading scientifics articles, low subscription in sindicates and class associations and only 13,8% known about current minimum income. CONCLUSION: The physical therapist profile of Sao Paulo State is formed predominantly by Young women, graduated after 2001 in a private university, post-graduation course, autonomous, works in home care and monthly income between R$1500,00 to R$3000,00, are partially satisfied with the profession, the physical therapy as only source of income and remains updated through participation in conferences, courses and reading scientific articles
45
Pereira, Marta. "Contribuição para a adaptação cultural do Neck Disability Index e caraterização da prática de fisioterapia em pacientes com dor crónica cervical." Master's thesis, Faculdade de Ciências Médicas. UNL, 2012. http://hdl.handle.net/10362/9108.
Full textAbstract:
RESUMO: Objetivo: Este trabalho teve como objetivo contribuir para o processo de adaptação cultural do Neck Disability Index (NDI), através da análise da sua unidimensionalidade e do estudo da sua fiabilidade (consistência interna e fiabilidade teste-reteste), validade de constructo e poder de resposta. De igual forma pretendeu-se caraterizar a intervenção realizada pela fisioterapia e os resultados obtidos em pacientes com Dor Cervical Crónica (DCC). Introdução: A dor cervical é um problema cada vez mais comum nos países industrializados, constituindo uma das três condições mais frequentemente reportadas por queixas de origem músculo-esquelética. A sua incidência é um fenómeno em crescimento, com custos implicados para a sociedade. Desta forma reconhece-se a importância de um instrumento que monitorize a evolução da incapacidade funcional associada à DCC. O NDI é atualmente o instrumento de avaliação mais recomendado para avaliar a incapacidade funcional associada à dor cervical. Foi traduzido e adaptado à língua portuguesa, mas à data não foi realizada nenhuma avaliação das suas propriedades psicométricas. Por outro lado, apesar de a literatura referir que os serviços de Fisioterapia são extremamente procurados por indivíduos com DCC, em Portugal, a informação sobre a sua prática nesta condição clínica é escassa ou mesmo inexistente. Assim, e sendo a incapacidade nas atividades funcionais uma das variáveis de maior impacto da DCC e ao mesmo tempo um dos resultados principais da intervenção da Fisioterapia, importa por um lado possuir instrumentos capazes de avaliar o nível de incapacidade funcional e a sua mudança, e por outro, aferir qual a intervenção realizada pela Fisioterapia e quais os resultados obtidos. Metodologia: Realizou-se um estudo de coorte prospetivo com uma amostra de conveniência, do tipo não probabilístico, constituída por 88 pacientes com DCC de origem músculo-esquelética e causa não traumática referenciados para 6 serviços de fisioterapia / medicina física e de reabilitação de clínicas e centros de reabilitação, sendo elegíveis todos os pacientes que cumprissem os critérios de inclusão e exclusão estabelecidos. Os pacientes foram avaliados em três momentos pré-definidos: antes do início das sessões de fisioterapia ou na 1ª semana de tratamento; 4 a 7 dias após a 1ª avaliação; e 7 semanas após o início da fisioterapia. Para verificação da unidimensionalidade do NDI, procedeu-se a uma Análise Fatorial Exploratória. As propriedades psicométricas do NDI avaliadas foram a Fiabilidade (consistência interna e fiabilidade teste-reteste), a Validade de Constructo e o Poder de Resposta. Posteriormente procedeu-se à caraterização da prática da fisioterapia quanto às modalidades utilizadas, número de sessões de tratamento e duração do episódio de cuidados. Adicionalmente descreveu-se os resultados obtidos após a intervenção da fisioterapia ao nível da dor e incapacidade. Resultados: os resultados obtidos foram positivos e significativos, com a confirmação da unidimensionalidade do NDI, sendo que em todos os critérios seguidos o fator mínimo retido foi de um. Na avaliação da consistência interna o valor obtido foi acima do mínimo aceitável (α Cronbach = 0,77), enquanto o valor de fiabilidade teste-reteste foi elevado (CCI =0,95). De igual forma, os resultados foram positivos para a validade de constructo, obtendo-se uma associação positiva do NDI com a Escala Numérica da dor (END). O valores de poder de resposta reportaram uma Área Abaixo da Curva de 0,63 (IC 95%=0,51-0,75), com valor de Diferença Mínima Clinicamente importante de 5,5 pontos (sensibilidade = 69,6%; especificidade = 43,6%). Relativamente á intervenção de fisioterapia em casos de DCC verificou-se que as características da prática da fisioterapia reportadas neste relatório são de difícil comparação ou análise dada a escassez ou inexistência de trabalhos publicados sobre este assunto em pacientes com DCC. No entanto, neste estudo, encontraram-se reduções significativas na intensidade da dor e incapacidade funcional após a intervenção de fisioterapia (z= -7,16; p<0,001 e t= 10,412, p<0,05, respetivamente). Conclusão: Os resultados do presente estudo revelam que o NDI-VP possui uma boa Fiabilidade, Validade de Constructo e Poder de Resposta. Revela ainda que a intervenção da fisioterapia em casos de DCC, apesar da escassez de trabalhos publicados, proporciona uma redução significativa dos níveis de dor e incapacidade em pacientes com DCC.--------------- ABSTRACT:Objective: the aim of this study was to contribute for the process of cultural adaption of the Neck Disability Index (NDI), through the analysis of his unidimensionality and the study of his reliability (internal consistency and test-retest reliability), construct validity and responsiveness. At the same time it pretends to characterize the intervention performed by physical therapy and the results in patients with Chronic Neck Pain (CNP). Introduction: neck pain is a common problem in the industrialized countries, since is one of the three most reported conditions by complaints with musculoskeletal origin. His incidence is a growth phenomena that implicate great costs to society. Therefore the importance of an instrument that monitories the evolution of the functional disability associated to CNP is recognized. Nowadays, NDI is the instrument most recommended to evaluate functional disability associated to neck pain. It has been translated and adapted to portuguese but, till now, no evaluation of his psychometric proprieties has been completed. In the other hand, despite literature refers that physical therapy services are extremely searched by patients with neck pain, in Portugal, the information about practice in this clinical condition is very few or inexistent. Therefore, and since disability in the functional activities is one of the variables with most impact of CNP and, at the same time, one of the main results of physical therapy interventions, it’s important to have instruments capable of evaluate the level of functional disability and his change, and also calculate which intervention of physical therapy is most appropriate and his results. Methodology: it was used a prospective cohort study with a convenience sample, non-probabilistic, consisting of 88 patients with CNP of musculoskeletal origin and non-traumatic cause, referred to 6 physical therapy services of clinics and rehabilitation centers, and fulfilled the inclusion and exclusion criteria established. Patients were evaluated in three pre-defined moments: before the beginning of physical therapy or during the first week of treatment; 4 to 7 days after the first evaluation; and 7 weeks after beginning of physical therapy. To verify NDI unidimensionality, we run an Exploratory Factorial Analysis. NDI psychometric proprieties evaluated were reliability (internal consistency and test-retest reliability), construct validity and responsiveness. Subsequently, it was proceeded the characterization the practice of physical therapy regarding to the modalities used, the number of treatment sessions and duration of the episode of care. Additionally it was described the results obtained after the intervention of the physical therapy, the level of pain and the disability. Results: results were positive and significant, with the confirmation of the NDI unidimensionality, since in every followed criteria the minimal retained factor was one. In the evaluation of internal consistency the value was above the minimal accepted (α Cronbach = 0,77), and the test-retest reliability value was high (CCI =0,95). Results were positive to construct validity, with an positive association of the NDI with Numeric Rating Scale (NRS). Responsiveness values reported an Area Under Curve (AUC) of 0,63 (IC 95%=0,51-0,75) with a Minimal Important Detectable Change (MIDC) of 5,5 points (sensitivity = 69,9%; specificity = 43,6%). Regarding physical therapy interventions in CNP, it was verified that the physical therapy characteristics reported are difficult to compare or analyze since there are very few published studies about this topic. However, in this study, significant reductions were founded in pain intensity and functional disability after intervention(z= -7,16; p<0,001 and t= 10,412, p<0,05, respectively).Conclusion: present study results reveals that NDI has an good reliability, construct validity and responsiveness. It also reveals that physical therapy intervention in CNP, beside few studies published, result in a significant reduction of pain and disability levels in patients with CNP.
46
Konnyu, Kristin Julianna. "Dance as a therapeutic intervention : physical therapists' beliefs and practices." Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/1595.
Full textAbstract:
Background: Activity and exercise that are sustainable are essential for maximizing their long-term health and therapeutic benefits. Physical therapists (PTs), as clinical exercise specialists, are committed to the exploitation of these benefits. Dance is often perceived as social and enjoyable, both potentially motivating factors that could contribute to its being such a sustained activity.
Purpose: To describe the beliefs and practices of PTs regarding the use of dance as a therapeutic intervention for individuals at risk of or experiencing one or more chronic lifestyle conditions. A secondary aim was to establish an appropriate estimate of statistical power and effect size for subsequent survey or intervention studies.
Design: Descriptive study based on a self-administered questionnaire.
Subjects and Methods: A 5-page survey questionnaire, comprised of 67 items was developed and pre-tested prior to distribution to 231 PTs (with an anticipated response rate of 40%). Public and private practitioners were randomly sampled from the 2008 list of registered PTs in British Columbia. The randomized population was contacted up to five times according to Dillman’s method.
Results: The survey resulted in 136 returned questionnaires (124 returned by respondents, 12 returned undeliverable) resulting in a response rate of 57%. Respondents expressed moderate to high agreement that dance could positively impact clients’ physiological and psychological states. Although most respondents did not prescribe dance, they expressed interest in doing so. Finally, the majority of respondents were amenable to the inclusion of dance in physical therapy practice, professional development education, and research. Rather than inclusion in entry-level education however, most respondents believed dance should be a post-graduate education topic.
Discussion and Conclusion: We believe that this is the first study designed to examine the beliefs and practices of PTs with respect to use of dance as a therapeutic intervention. PTs appear responsive to recommending dance as an activity alternative, and are interested in learning more about its use as a therapeutic intervention and/or health promotion activity. Notably, dancing’s perceived social and enjoyable features were cited by PTs as potential facilitating factors that could sustain long-term participation and corresponding health benefits.
47
Ashton, Alyssa. "Contextualizing Aquatic Rehabilitative Practices in Canada." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37708.
Full textAbstract:
This thesis explored the current context of aquatic rehabilitative practices in Canada. More specifically, three inter-related topics on Aquatic Therapy (AT) and Aquatic Physical Therapy (APT) in Canada were examined: 1) the development of knowledge, training and expertise on APT and AT, 2) recognition and acceptance of cultural and social authority on AT and APT (Starr, 1982), and 3) the practitioners’ perceptions of barriers to practicing and participation in aquatic therapy. Semi-structured qualitative interviews were conducted with seven (7) stakeholders including Ontario aquatic physical therapists, aquatic therapists, instructors on aquatic therapy and members of the College of Physiotherapy of Ontario (CPO) and the Canadian Physiotherapy Association (CPA). Interviews were complimented with open-ended questionnaires sent to Chairs of Physical Therapy programs in seven Canadian Universities.
Our research identified the most common means of acquiring knowledge on aquatic rehabilitative practices was through University Physiotherapy program curriculum; private training courses; and in-house within facilities where aquatic therapists and aquatic physical therapists are employed. This thesis also examined facilitators/barriers to practicing and receiving aquatic therapy and aquatic physical therapy. Through critical analysis, this thesis reflected on the ways in which social and cultural authority (Starr, 1982) are constructed within the field of aquatic therapy (AT) and aquatic physical therapy (APT). Recommendations and areas for future research included specialized training courses by scope of practice, and increased in-pool practicum training within Physiotherapy programs in Canada.
48
Boubekeur, Bilal. "Análise da eficácia dos métodos Schroth e Pilates na redução do ângulo de Cobb na escoliose idiopática do adolescente: revisão bibliográfica." Bachelor's thesis, [s.n.], 2021. http://hdl.handle.net/10284/10194.
Full textAbstract:
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em FisioterapiaIntrodução: a escoliose é caracterizada por uma alteração estrutural anatómica tridimensional, avaliada através do ângulo de Cobb. A escoliose idiopática do adolescente (EIA) é um dos tipos de escoliose mais comum. Objetivo: analisar a eficácia dos métodos Schroth e Pilates na redução do ângulo de Cobb na EIA. Metodologia: a pesquisa foi feita a partir das bases de dados PubMed e PEDro, foram incluídos artigos publicados a partir de 2015, e avaliados metodologicamente segundo a escala Critical Appraisal Skills Programme (CASP). Resultados: nesta revisão foram incluídos 6 estudos, com 220 participantes com idades compreendidas entre 13 e 21 anos, sendo 186 do género feminino e 34 do género masculino. A aplicação do método Schroth, de um modo isolado ou associada a outras técnicas terapêuticas, assim como o método de Pilates, são efetivas na diminuição dos ângulos da curvatura. A sua efetividade aumenta quando são supervisionados por fisioterapeutas. Conclusão: a aplicação dos métodos Schroth e Pilates pode contribuir para a redução do ângulo de Cobb nas escolioses idiopáticas dos adolescentes.
Introduction: scoliosis is characterized by a three-dimensional anatomical structural alteration, assessed through the Cobb angle. Adolescent idiopathic scoliosis (AIS) is one of the most common types of scoliosis. Objective: to analyze the effectiveness of the Schroth and Pilates methods in reducing the Cobb angle in AIS. Methodology: the research was carried out from the PubMed and PEDro databases. Articles published since 2015 were included and evaluated methodologically according to the Critical Appraisal Skills Program (CASP) scale. Results: 6 studies were included in this review, with 220 participants aged between 13 and 21 years old, 186 of whom were female and 34 who were male. The application of the Schroth method, in an isolated way or associated with other therapeutic techniques, as well as the Pilates method, are effective in decreasing the curvature angles. Their effectiveness increases when they are supervised by physical therapists. Conclusion: the application of the Schroth and Pilates methods can contribute to the reduction of the Cobb angle in adolescent idiopathic scoliosis.
N/A
49
Asseraf-Pasin, Liliane. "Mentoring practices in physical and occupational therapy: experiences of Canadian mentors and mentees." Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=110374.
Full textAbstract:
The purpose of this study was to (a) gain an understanding of physical therapy (PT) and occupational therapy (OT) mentoring practices that occur in two large Canadian clinical teaching institutions, (b) understand how novice professionals are integrated into the workplace, and (c) examine the meaning that mentors and mentees attach to their mentoring experiences.The literature demonstrates that formal mentoring outcomes include building research competence (Byme & Keefe, 2002), strengthening personal and professional growth (Connor, Bynoe, Redfem, Pokora, & Clarke, 2000), contributing to an individual's academic career development (Pololi & Knight, 2005) and most importantly, promoting job satisfaction and retention (Smith, McAllister, & Snype-Crawford, 2001; Solomon, Salvatori, & Berry, 2001). The fact that no evidence with regard to physical and occupational therapy workplace mentoring exists inspired this study. This study examined the mentoring practices of five physical therapists and five occupational therapists working in two different university affiliated institutions. Using purposive sampling, six mentors with more than five years of experience, and four mentees with less or equal to one year of experience were recruited. Three in-depth interviews, and a concept mapping exercise followed by debriefing sessions in a focus group format, constituted the primary sources of data. Participants' and researcher's journals, and artifacts, such as memos, photographs, and interviews with four administrators/directors, completed the data collection. QSR Nvivo software was used to store and organize the data. The constant comparison method (Maykut & Morehouse, 1994) was utilized first to analyze the data. Thirty-two interview transcripts (526 pages) were coded to obtain conceptual themes. Categorization of data highlighted similarities and differences. Then, to triangulate the data, four participants' journals and interview and focus group transcripts were analyzed in depth using Lieblich's (1998) holistic-content approach. Using a narrative analysis approach allowed me to connect the data and constant comparison to explore the relationships and patterns across data (Maxwell & Miller, 2008). Narrative summaries were produced to represent a comprehensive view of four mentees and mentors' unique experiences; I used the ghostwriting approach to represent the narratives (Rhodes, 2000). The high expectations placed upon newly graduated professionals (McCloughen & O'Brien, 2005) coupled with the human resources shortage in the fields of PT and OT in Canada, render mentoring an essential element for hiring and retaining healthcare professionals. This study revealed that mentors facilitate the professional rite of practice of novice professionals by guiding them in choosing a profession, learning the ropes, and ultimately integrating them into the workplace. The findings demonstrated that previous clinical placements helped novices adapt to the workplace culture and assisted them with issues of place identity. In addition, this study highlighted the importance mentoring plays in constructing PT and OT professional identity. It showed that mentors and mentees working in complex healthcare settings all struggle, although in different ways, with the high demands of their jobs: However, with mentoring, they find ways to balance work and personal life. Finally, the results showed that the implementation of more formal mentoring programs might facilitate the integration of PT and OT professionals into the workplace, and suggested that institutions need to invest in these programs if they want to improve retention of their healthcare professionals, who are presently in higher demand than the existing supply.Le but de cette étude était de parvenir à une compréhension des pratiques mentorales qui s'exercent en physiothérapie et en ergothérapie dans de grands établissements d'enseignement clinique universitaires canadiens, de comprendre la façon dont les professionnels débutants sont intégrés dans le milieu de travail, et d'examiner la signification que les mentors et mentorés accordent à leurs expériences mentorales. Dans cette étude, les pratiques mentorales de cinq physiothérapeutes et de cinq ergothérapeutes exerçant dans deux milieux universitaires canadiens distincts ont été examinées. Six mentors comptant plus de cinq années d'expérience et quatre mentorés avec un an ou moins d'expérience ont été recrutés en utilisant un échantillonnage de convenance. La réalisation de trois entrevues détaillées et l'élaboration d'une carte conceptuelle suivie de sessions de débreffage sous la forme d'un groupe de discussion ont constitué la principale source de collecte de données. Les journaux de bord des participants et des chercheurs, des artéfacts comme des mémos et des photographies ainsi que des entrevues avec deux administrateurs ont complété cette collecte de données. Le logiciel informatique QSR Nvivo a été utilisé pour enregistrer et organiser les données. La méthode de comparaison constante (Maykut & Morehouse, 1994) a été utilisée, dans un premier temps, pour analyser les données. Le processus de catégorisation des données a permis de mettre en évidence les similitudes et les différences. Par la suite, pour réaliser la triangulation des données, les transcriptions de quatre participants provenant des entrevues et des groupes de discussion concernant leurs cartes conceptuelles, ainsi que de leurs journaux de bord ont été analysés en profondeur à l'aide de l'analyse de contenu holistique de Lieblich (1998). L'utilisation d'une méthode mixte m'a permis dans un premier temps de relier les données et ensuite d'explorer les relations et les tendances qui s'en dégageaient (Maxwell & Miller, 2008). En conséquence, des résumés des narrations ont été produits pour représenter une vue d'ensemble des expériences uniques de quatre professionnels (deux mentors et deux mentorés) à l'aide de la méthode ghostwriting (Rhodes, 2000).Les attentes élevées à l'endroit des professionnels nouvellement diplômés (McCloughen & O'Brien, 2005), combinées à la pénurie de main d'œuvre en physiothérapie et en ergothérapie au Canada, contribuent à faire du processus de mentorat un élément essentiel à l'embauche et à la rétention des professionnels de la santé. Les conclusions de cette étude ont démontré que les mentors facilitent le rituel qui marque le passage des professionnels débutants à la pratique professionnelle en les aidant à choisir une profession, à apprendre les rouages du métier et, en fin de compte, à s'intégrer dans le milieu de travail. Cette étude a souligné l'importance que le mentorat joue dans la construction de l'identité professionnelle des ergothérapeutes et des physiothérapeutes ainsi que dans la facilitation de l'intégration des novices dans le milieu de travail. Enfin, les résultats de cette étude suggèrent que l'implantation de programmes de mentorat plus formels peut aider à consolider la construction de l'identité professionnelle des ergothérapeutes et des physiothérapeutes. Les institutions doivent investir dans des programmes formels de mentorat s'ils veulent améliorer la rétention de leurs professionnels de la santé, ces derniers étant en nombre inférieur à la demande.
50
Achury, Nancy Jeanet Molina. "Educação em fisioterapia: análise crítica desde a prática profissional." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-06012016-160441/.
Full textAbstract:
Este estudo trata da Educação em Fisioterapia e busca reconhecer e problematizar os aspectos que estruturam a relação educação - prática profissional, para identificar elementos orientadores para uma educação que promova a construção de consciência crítica. Entende-se que a educação profissional é, em termos gerais, o processo de preparação para a prática profissional, com o qual se configura uma lógica de predomínio da organização dos serviços assistenciais no processo educativo; em consequência, cabe perguntar como tal organização influencia a formulação da Educação em Fisioterapia. Destaca-se o fato de que os processos de formulação curricular e desenho das disciplinas - tanto para a formação em disciplinas da saúde em geral, como na Fisioterapia em particular - não consideram uma aproximação explícita aos sistemas e à organização dos serviços, como aspecto estruturante da própria prática profissional ao tempo que a referência das necessidades em saúde, como orientadora na definição de conteúdos curriculares, é fraca e com frequência desvirtuada, na medida em que ela reflete os próprios limites de compreensão da realidade, que com frequência negam as críticas e inclusive o desenvolvimento de outras formas de interpretação, mantendo os marcos hegemônicos do conhecimento muitas vezes influenciados pelos interesses e lógicas dos serviços que, frequentemente, acabam modelando tais necessidades. Neste sentido, é frequente que a avaliação dos processos de educação seja desenvolvida desde uma lógica autocentrada e instrumental do próprio processo educativo, que não permite a aproximação a marcos analíticos que deem conta da relação prática profissional - educação, na qual a estrutura de organização da primeira tem um papel definitivo sobre a segunda, fazendo com que o impacto da própria educação se dê em campos limitados, no sentido de animar transformações de fundo, tanto no desenvolvimento da disciplina como na prática em si. Metodologicamente, busca-se reconhecer os elementos ordenadores do processo educativo, já não no próprio processo de educação, mas na organização do trabalho assistencial, em termos de suas lógicas, seus relacionamentos e suas contradições, a partir de uma perspectiva histórica que reconheça sua origem e seu movimento. Neste sentido, a aproximação ao processo educativo que coloca como elemento ordenador as práticas profissionais, em uma perspectiva que as reconhece como expressão da estrutura social e historicamente construída, define-se como um exercício de análise crítica da proposta educativa, que para o caso que nos ocupa toma como referencial de análise a proposta do programa de Fisioterapia da Universidade Nacional da Colômbia, uma vez que o mesmo se reconhece como de alta qualidade e legitimidade social no cenário nacional e internacional. A referência central se constrói a partir da análise do exercício profissional e seu impacto no processo de ensino, o que inclui, entre outros aspectos, o currículo, a pedagogia e a didática, em uma lógica que os articula à estrutura de organização do trabalho, numa perspectiva de reconhecer em tal relação sua historicidade, as relações, as contradições e as possibilidades para sua transformação, como elementos orientadores do processo de formação e posterior exercício profissionalThis study addresses Education in Physiotherapy and aims to recognize and problematize the aspects that structure the education - professional practice relationship, in order to identify guiding elements for an education that promotes the development of critical consciousness. Professional education is understood as, in broad terms, the preparation process for professional practice, with which is established the logic of predominance of healthcare services organization in the educational process; consequently, one question that should be asked is how such organization affects the conception of Education in Physiotherapy. Attention is drawn to the fact that the processes of curriculum formulation and discipline design - both for the study of health disciplines in general and Physiotherapy in particular - do not take into consideration an explicit approach to systems and service organization, as a structural aspect of the professional practice itself; moreover, the approach to health needs, as a guidance in the formulation of curriculum contents, is weak and often misrepresented, since such approach reproduces the own limits of understanding reality, and frequently denies not only criticism but even the development of other forms of interpretation, maintaining the hegemonic frameworks of knowledge often influenced by the services interests and logics, and which finally shape the needs. In this sense, the evaluation of the education processes are often developed from a self-centered and instrumental perspective of the educational process itself, which does not allow the approach to analytical frameworks that give full account of the professional practice - education relationship, in which the former organization structure plays a key role on the latter; this means that the impact of education itself takes place in limited fields, regarding background changings, both in discipline development and practice itself. Methodologically, this study aims at recognizing the guiding elements of the educational process, based not on the education process itself, but in the organization of health care work, in terms of its logics, relationships, and contradictions, from a historical perspective that acknowledges its origin and movement. In this sense, the approach to an educational process that establishes professional practices as the guiding element, in a perspective that recognized them as expression of the social structure and historically build, is defined as an exercise of critical analysis of the educational proposal; for this study, we adopt as the analysis framework the proposal of the Physiotherapy Program of the Colombia National University, which regards itself as of high quality and with social legitimacy in both national and international levels. The central approach is developed from the analysis of the professional practice and its impact on the teaching process, which includes, among others, curriculum, pedagogy, and didactic aspects, in a perspective that articulates them to the work organization structure, and recognize in such relation its historicity, relationships, contradictions, and possibilities for their change, as guiding elements of the education process and subsequent professional practice