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1

Hiller, A., C. Delany, and M. Guillemin. "The communicative power of touch in the patient–physiotherapist interaction." Physiotherapy 101 (May 2015): e565-e566. http://dx.doi.org/10.1016/j.physio.2015.03.3383.

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2

Lundvik Gyllensten,, Amanda, GUNVOR GARD, LARS HANSSON, and CHARLOTTE EKDAHL. "Interaction Between Patient and Physiotherapist in Psychiatric Care ? the Physiotherapist's Perspective." Advances in Physiotherapy 2, no. 4 (January 2000): 157–67. http://dx.doi.org/10.1080/140381900750063427.

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3

Jovanović, Stevan, Divna Kekuš, and Biljana Stojanović-Jovanović. "Komunikacija u fizioterapeutskoj praksi." Sestrinska rec 23, no. 80 (2020): 7–10. http://dx.doi.org/10.5937/sestrec2080007j.

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Communication is considered to be the most important aspect of the practice of healthcare professionals, and the communication relationship between the health care provider and the patient involves two groups of people who have different positions or roles that determine their interaction and relationship. The communication process between physiotherapist and patient is increasingly recognized as a therapeutic practice. Through communication interactions, physiotherapists can educate, motivate, empower, or release, express empathy or authority, show interest, or build confidence. In physiotherapy, as well as in other patient-oriented, biopsychosocial and related health care professions, a patient-centered communication approach has been established as guides and frameworks for practitioners to communicate with their patients. These communication models are used to share information as well as accountability but also to reduce power disparities between the physiotherapist and the patient. Accordingly, this communication model is specifically aimed at understanding the needs of patients and addressing them in order to maximize the perspective of each patient. Developing active patient-therapist collaboration creates a relationship defined as a "therapeutic alliance" characterized by empathy, trust, and respect. Many forms of treatment performed by physiotherapists cannot be successful without the patient's contribution and motivation to cooperate, both during and outside the communication interaction. communication skills have a positive effect on the patient's psychology and therefore physiology as they are inseparable, and the relationship between the physiotherapist and the patient during the rehabilitation process creates a sense of "companionship" on the path during which the patient is free from his or her physical, social and environmental limitations.
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Gyllensten, Amanda Lundvik, Gunvor Gard, Eva Salford, and Charlotte Ekdahl. "Interaction between patient and physiotherapist: a qualitative study reflecting the physiotherapist's perspective." Physiotherapy Research International 4, no. 2 (June 1999): 89–109. http://dx.doi.org/10.1002/pri.156.

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Opsommer, Emmanuelle, and Veronika Schoeb. "‘Tell Me About Your Troubles’: Description of Patient-Physiotherapist Interaction During Initial Encounters." Physiotherapy Research International 19, no. 4 (April 8, 2014): 205–21. http://dx.doi.org/10.1002/pri.1585.

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6

Pinheiro, Cristiana, Joana Figueiredo, Nuno Magalhães, and Cristina P. Santos. "Wearable Biofeedback Improves Human-Robot Compliance during Ankle-Foot Exoskeleton-Assisted Gait Training: A Pre-Post Controlled Study in Healthy Participants." Sensors 20, no. 20 (October 17, 2020): 5876. http://dx.doi.org/10.3390/s20205876.

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The adjunctive use of biofeedback systems with exoskeletons may accelerate post-stroke gait rehabilitation. Wearable patient-oriented human-robot interaction-based biofeedback is proposed to improve patient-exoskeleton compliance regarding the interaction torque’s direction (joint motion strategy) and magnitude (user participation strategy) through auditory and vibrotactile cues during assisted gait training, respectively. Parallel physiotherapist-oriented strategies are also proposed such that physiotherapists can follow in real-time a patient’s motor performance towards effective involvement during training. A preliminary pre-post controlled study was conducted with eight healthy participants to conclude about the biofeedback’s efficacy during gait training driven by an ankle-foot exoskeleton and guided by a technical person. For the study group, performance related to the interaction torque’s direction increased during (p-value = 0.07) and after (p-value = 0.07) joint motion training. Further, the performance regarding the interaction torque’s magnitude significantly increased during (p-value = 0.03) and after (p-value = 68.59 × 10−3) user participation training. The experimental group and a technical person reported promising usability of the biofeedback and highlighted the importance of the timely cues from physiotherapist-oriented strategies. Less significant improvements in patient–exoskeleton compliance were observed in the control group. The overall findings suggest that the proposed biofeedback was able to improve the participant-exoskeleton compliance by enhancing human-robot interaction; thus, it may be a powerful tool to accelerate post-stroke ankle-foot deformity recovery.
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Barbieri, A., B. Monica, and N. Sebastio. "Nursing nel paziente urologico, anziano, operato: Nursing of the elderly urological patient." Urologia Journal 65, no. 2 (April 1998): 215–21. http://dx.doi.org/10.1177/039156039806500204.

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There are two important issues in the postoperative management of the urological elderly patient: complications and rehabilitation. Aging is associated with a loss of homeostatic reserve that may lead to postoperative complications due to drug interaction, malnutrition, infection, defects in wound healing, and poor psychological state. Furthermore rehabilitation, if not properly planned or implemented may influence not only the quality of life, but also the whole treatment results. The authors, in relation to pathogenetic aspects, describe what to do to prevent complications and to promote patient recovery. They conclude that both urologists and nurses must have specific geriatric training and that a psychiatrist, dietician, geriatrician and physiotherapist should be part of the team caring for the elderly surgical patient. Finally discharge from hospital must not be the end of therapy: in selected patients nursing management may continue at home reducing morbidity and mortality and helping better rehabilitation.
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Adeloye, Opeyemi Oluwasanmi. "Aerobics Exercise in Two Post Parkinson’s Disease Care: Effective Treatment among Group Exercise Versus Individual Supervised Exercise." International Journal of Clinical Case Reports and Reviews 6, no. 2 (January 8, 2021): 01–05. http://dx.doi.org/10.31579/2690-4861/098.

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Objective To compare group supervised exercise (GE) and individual exercise (IE) in a hospital setting, in terms of improvement in quality of life, gait and balance and social interaction. Study Design and Setting This was a prospective cohort study in Jos (Plateau State) Participants Sixty seven patients completed the outcome data. Measures Daily activities were measured by the bartel index, tinetti scale (balance and gait), short form SF-36 health survey to compare quality of life. Results No statically significant differences were found between the two groups regarding the symptoms of PD. After exercise supervised by physiotherapist both group showed significant improvement from each measurement. These improvements were better in individual than group supervised exercise patient with all functionality scales with a smaller margin. Conclusion Individual supervised exercise is more effective than group supervised exercise in term of improvement in quality of life, activities of daily living, gait and balance and social interaction.
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9

Kristensen, Dorte Vesterager, Jill Flo, and Lisbeth Fagerström. "Tverrprofesjonell klinisk praksis for helsefagstudenter som en del av den ordinære praksisperioden, En casestudie fra en akutt geriatrisk-, slag - og rehabiliteringsavdeling." Nordisk tidsskrift for helseforskning 10, no. 1 (June 16, 2014): 83. http://dx.doi.org/10.7557/14.3012.

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<p><strong><em>Interdisciplinary Professional clinical practice for health sciences students as part of the regular work placement- a casestudy from an acute geriatric - stroke and rehabilitation department.</em></strong></p><p><em>This study describes students' experiences of interdisciplinary clinical practice (ICP) in an emergency department of geriatrics, stroke and rehabilitation in Norway. The purpose of this study was to investigate whether ICP has contributed to the students' knowledge of their own and other professional' expertise and expanded understanding of patients' rehabilitation needs. 19 students; nursing, occupational therapist, physiotherapist and social worker students were represented in the study. A model with various learning activities was developed in collaboration between two university colleges and the department. ICP lasted two weeks during a regular practice period. Students' experiences were evaluated through focus group interviews. The study concludes that collaboration in patient situations is essential for the students awareness of each other's disciplines, expanded perspective on own subjects and the patients need of rehabilitation. The short length of stay in the department led to increased focus on interaction early in the patient care.</em><em></em></p>
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Daoud, Mohammad I., Abdullah Alhusseini, Mostafa Z. Ali, and Rami Alazrai. "A Game-Based Rehabilitation System for Upper-Limb Cerebral Palsy: A Feasibility Study." Sensors 20, no. 8 (April 24, 2020): 2416. http://dx.doi.org/10.3390/s20082416.

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Game-based rehabilitation systems provide an effective tool to engage cerebral palsy patients in physical exercises within an exciting and entertaining environment. A crucial factor to ensure the effectiveness of game-based rehabilitation systems is to assess the correctness of the movements performed by the patient during the game-playing sessions. In this study, we propose a game-based rehabilitation system for upper-limb cerebral palsy that includes three game-based exercises and a computerized assessment method. The game-based exercises aim to engage the participant in shoulder flexion, shoulder horizontal abduction/adduction, and shoulder adduction physical exercises that target the right arm. Human interaction with the game-based rehabilitation system is achieved using a Kinect sensor that tracks the skeleton joints of the participant. The computerized assessment method aims to assess the correctness of the right arm movements during each game-playing session by analyzing the tracking data acquired by the Kinect sensor. To evaluate the performance of the computerized assessment method, two groups of participants volunteered to participate in the game-based exercises. The first group included six cerebral palsy children and the second group included twenty typically developing subjects. For every participant, the computerized assessment method was employed to assess the correctness of the right arm movements in each game-playing session and these computer-based assessments were compared with matching gold standard evaluations provided by an experienced physiotherapist. The results reported in this study suggest the feasibility of employing the computerized assessment method to evaluate the correctness of the right arm movements during the game-playing sessions.
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Hemmings, Laura. "An Interpretive Phenomenological Analysis Of Physiotherapy In Mental Health: Exploring Barriers And Facilitators To Care." International Journal of Therapy and Rehabilitation 26, no. 6 (June 2, 2019): 8. http://dx.doi.org/10.12968/ijtr.2019.26.6.8.

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Background/Aims Current literature identifies decreased life expectancy and increased physical health complaints for service users with mental health diagnosis. However, research also highlights increased challenges for this population when accessing physical health care services. Physiotherapy is one such service shown to be of benefit for those with co-morbid physical and mental health needs. However, research is currently lacking on experiences and access to physiotherapy for this population. This study aimed to explore lived experiences of physiotherapeutic care for those with co-morbid physical and mental health complaint and identify barriers and facilitators for those attempting to access this service. Methods Semi-structured interviews were carried out with service users (n=8) with long-standing physiotherapeutic and severe and enduring psychiatric complaints. Focus groups were completed with physiotherapists working within the field of mental health care. Verbatim transcripts of the interviews and focus groups were analysed using Interpretive Phenomenological Analysis in order to obtain in depth insight into participant experiences. The study was designed to enhance quality through use of methodological and investigator triangulation, negative case analysis, reflexivity, secondary coding and a clear audit trail. Results Data was analysed systematically following the structure: individual case analysis, emergence of themes, cross case analysis, validation of themes and ideas. This analysis produced five master themes: (1) Communication with health care provider; (2) holistic care from physiotherapist; (3) perceived benefit of physiotherapy; (4) health care politics and interaction between services; (5) patient activation and motivation to comply with physiotherapy. These factors were seen to be of high importance for patient experience and, when lacking, were identified as barriers to quality physiotherapeutic care. Conclusions Results were found to be consistent with current literature around physical health care. This study identifies the need for greater integrated care between physical and mental health services and improved awareness of mental health and use of the biopsychosocial model within physiotherapy practice in order to promote holistic care. Results also highlight the need for positive experience of physiotherapy for those with severe mental illness in order to increase patient activation and motivation to attend and comply with services.
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Whittington, Dorothy, Jean Bell, and Nicola Adams. "A Qualitative Analysis of Communication Skills in Physiotherapist-Patient Interactions." Physiotherapy 79, no. 7 (July 1993): 508–9. http://dx.doi.org/10.1016/s0031-9406(10)60269-6.

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13

Schoeb, V., and A. Hiller. "When documentation requirements challenge patient-centred care: An exploration of patient–physiotherapist interactions in the outpatient setting." Manual Therapy 25 (September 2016): e56. http://dx.doi.org/10.1016/j.math.2016.05.601.

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14

Schoeb, Veronika, and Amy Hiller. "The impact of documentation on communication during patient-physiotherapist interactions: A qualitative observational study." Physiotherapy Theory and Practice 34, no. 11 (January 31, 2018): 861–71. http://dx.doi.org/10.1080/09593985.2018.1429036.

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15

Hayward, Christopher, and Simon Willcock. "General practitioner and physiotherapist communication: how to improve this vital interaction." Primary Health Care Research & Development 16, no. 03 (March 18, 2014): 304–8. http://dx.doi.org/10.1017/s1463423614000103.

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BackgroundAppropriate communication between general practitioners (GPs) and physiotherapists is vital for providing optimal care. Differing opinions exist as to key inclusion in this communication. This study aims to identify the key components that both GPs and physiotherapists would include in inter-professional communication.MethodsQualitative study design, using 14 in-depth, semi-structured telephone interviews.ResultsPhysiotherapists identified relevant past medical history, psycho-social history, yellow flags, anticipated time frame for follow-up and objective measures of current function as the more useful inclusions in written communication. GPs identified the inclusion of a working diagnosis, treatment summary and likely long-term outcomes as the key components to effective communication.DiscussionEffective interprofessional communication requires the provision of information that is both succinct and relevant. While there are individual preferences, this study suggests that certain key characteristics exist, and the inclusion of these in interprofessional communication may lead to improved communication and patient outcomes.
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Gandolfi, Marialuisa, Christian Geroin, Eleonora Dimitrova, Paolo Boldrini, Andreas Waldner, Silvia Bonadiman, Alessandro Picelli, et al. "Virtual Reality Telerehabilitation for Postural Instability in Parkinson’s Disease: A Multicenter, Single-Blind, Randomized, Controlled Trial." BioMed Research International 2017 (2017): 1–11. http://dx.doi.org/10.1155/2017/7962826.

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Introduction. Telerehabilitation enables patients to access remote rehabilitation services for patient-physiotherapist videoconferencing in their own homes. Home-based virtual reality (VR) balance training has been shown to reduce postural instability in patients with Parkinson’s disease (PD). The primary aim was to compare improvements in postural stability after remotely supervised in-home VR balance training and in-clinic sensory integration balance training (SIBT). Methods. In this multicenter study, 76 PD patients (modified Hoehn and Yahr stages 2.5–3) were randomly assigned to receive either in-home VR telerehabilitation (n=38) or in-clinic SIBT (n=38) in 21 sessions of 50 minutes each, 3 days/week for 7 consecutive weeks. VR telerehabilitation consisted of graded exergames using the Nintendo Wii Fit system; SIBT included exercises to improve postural stability. Patients were evaluated before treatment, after treatment, and at 1-month follow-up. Results. Analysis revealed significant between-group differences in improvement on the Berg Balance Scale for the VR telerehabilitation group (p=0.04) and significant Time × Group interactions in the Dynamic Gait Index (p=0.04) for the in-clinic group. Both groups showed differences in all outcome measures over time, except for fall frequency. Cost comparison yielded between-group differences in treatment and equipment costs. Conclusions. VR is a feasible alternative to in-clinic SIBT for reducing postural instability in PD patients having a caregiver.
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Berton, Alessandra, Umile Giuseppe Longo, Vincenzo Candela, Sara Fioravanti, Lucia Giannone, Valeria Arcangeli, Viviana Alciati, et al. "Virtual Reality, Augmented Reality, Gamification, and Telerehabilitation: Psychological Impact on Orthopedic Patients’ Rehabilitation." Journal of Clinical Medicine 9, no. 8 (August 7, 2020): 2567. http://dx.doi.org/10.3390/jcm9082567.

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Background: Remote virtual rehabilitation aroused growing interest in the last decades, and its role has gained importance following the recent spread of COVID19 pandemic. The advantages of virtual reality (VR), augmented reality (AR), gamification, and telerehabilitation have been demonstrated in several medical fields. In this review, we searched the literature for studies using these technologies for orthopedic rehabilitation and analyzed studies’ quality, type and field of rehabilitation, patients’ characteristics, and outcomes to describe the state of the art of VR, AR, gamification, and telerehabilitation for orthopedic rehabilitation. Methods: A comprehensive search on PubMed, Medline, Cochrane, CINAHL, and Embase databases was conducted. This review was performed according to PRISMA guidelines. Studies published between 2015 and 2020 about remote virtual rehabilitations for orthopedic patients were selected. The Methodological Index for Non-Randomized Studies (MINORS) and Cochrane Risk-of-Bias assessment tool were used for quality assessment. Results: 24 studies (9 randomized controlled trials (RCTs) and 15 non-randomized studies) and 2472 patients were included. Studies mainly concern telerehabilitation (56%), and to a lesser extent VR (28%), AR (28%), and gamification (16%). Remote virtual technologies were used following knee and hip arthroplasty. The majority of included patients were between 40 and 60 years old and had a university degree. Remote virtual rehabilitation was not inferior to face-to-face therapy, and physical improvements were demonstrated by increased clinical scores. Orthopedic virtual remote rehabilitation decreased costs related to transports, hospitalizations, and readmissions. Conclusion: The heterogeneity of included studies prevented a meta-analysis of their results. Age and social context influence adaptability to technology, and this can modify compliance to treatment and outcomes. A good relationship between patient and physiotherapist is essential for treatment compliance and new technologies are useful to maintain clinical interactions remotely. Remote virtual technologies allow the delivery of high-quality care at reduced costs. This is a necessity given the growing demand for orthopedic rehabilitation and increasing costs related to it. Future studies need to develop specific and objective methods to evaluate the clinical quality of new technologies and definitively demonstrate advantages of VR, AR, gamification, and telerehabilitation compared to face-to face orthopedic rehabilitation.
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Shah, Kalpesh. "Use of Telemedicine for Initial Consultations in Elective Orthopaedics—Results from a Large Volume Centre." Foot & Ankle Orthopaedics 2, no. 3 (September 1, 2017): 2473011417S0003. http://dx.doi.org/10.1177/2473011417s000366.

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Category: Healthcare Delivery Introduction/Purpose: Telehealth and telemedicine are at the heart of healthcare Vision for several countries including Canada, U.S.A, Scotland, etc; and and the aim is to use technologies to transform the way health and is delivered. Deployed thoughtfully and carefully, telehealth and telecare can help generate efficiencies through more flexible use of our workforce capacity and by reducing travel and minimising access delays. In line with this we wanted to use telemedicine for doing preoperative consultations for elective foot/ankle and lower limb arthroplasty procedures in patients referred from remote parts of the country to our hospital. The purpose of our study was to prove that telemedicine clinics (or Tele clinics) are just as safe, effective and satisfactory as face to face interactions between doctors and their patients. Methods: Two studies were conducted at this hospital between 2015-16. The first was a prospective pilot study of 50 new patients who were all seen using two different consultation rooms; with the patient along with a physiotherapist in one room, and the surgeon in another. Patients were seen via the Telemedicine unit without being aware that the surgeon was in the same building, and were then asked to rate their experience. The unanimous positive feedback received from this pilot study encouraged us to start using Tele clinics for initial consultations on a regular basis. The second study is a retrospective analysis of the safety and quality of the Tele clinics during a twelve months period. Results: 4 surgeons saw 320 patients in the Tele clinics over the study period of 12 months for foot/ankle as well as lower limb arthroplasty conditions. The number of patients who required surgery and the number of additional investigations carried out were similar to the ones from regular clinics. Feedback from patients remained very high for the Tele-clinics. Conclusion: Tele-clinics are largely used for reviewing patients after surgery. Our study shows that Tele-clinics can also be used for initial consultation for routine orthopaedic conditions, and are as safe and effective as face to face consultations. This provides an opportunity to treat patients in new ways and help manage rising costs and demand.
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Cieśliński, Maciej, and Dorota Drabarek. "Effectiveness of MA physiotherapist-patient interaction in the view of patients of private and public healthcare centres." Physiotherapy 18, no. 4 (January 1, 2010). http://dx.doi.org/10.2478/v10109-010-0071-2.

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Beckers, Niek, Edwin H. F. van Asseldonk, and Herman van der Kooij. "Haptic human–human interaction does not improve individual visuomotor adaptation." Scientific Reports 10, no. 1 (November 16, 2020). http://dx.doi.org/10.1038/s41598-020-76706-x.

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AbstractHaptic interaction between two humans, for example, a physiotherapist assisting a patient regaining the ability to grasp a cup, likely facilitates motor skill acquisition. Haptic human–human interaction has been shown to enhance individual performance improvement in a tracking task with a visuomotor rotation perturbation. These results are remarkable given that haptically assisting or guiding an individual rarely benefits their individual improvement when the assistance is removed. We, therefore, replicated a study that reported that haptic interaction between humans was beneficial for individual improvement for tracking a target in a visuomotor rotation perturbation. In addition, we tested the effect of more interaction time and a stronger haptic coupling between the partners on individual improvement in the same task. We found no benefits of haptic interaction on individual improvement compared to individuals who practised the task alone, independent of interaction time or interaction strength.
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Bright, Felicity. "Physiotherapy students’ conceptualisations of clinical communication: A call to revisit communication in physiotherapy education." OpenPhysio Journal, 2018. http://dx.doi.org/10.14426/art/509.

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Background: Communication is fundamental in collaborative physiotherapy practice. Students develop understandings of what constitutes ‘good’ communication through the formal, informal and hidden curricula. Understanding how students understand communication and how this is influenced by the curricula can help educators consider how best to enhance communication knowledge and skills. Aim: This study explored how physiotherapy students conceptualised clinical communication. Methods: This study was underpinned by a social constructionist epistemology. Data consisted of fifteen assignments, completed by students as part of their coursework. Assignments were analysed using the Listening Guide which prompted attention to how the different ways students understood communication and how these understandings were constructed. Results: Communication was understood as uni-dimensional. It was presented as an act done to the patient by the physiotherapist, with little attention to the patient’s communication and involvement in the interaction. Through communication, physiotherapists demonstrated and reinforced their expertise while simultaneously positioning the patient as the recipient of care and knowledge. Conclusion: Understandings of communication reflect broader constructions of physiotherapy and the role of the physiotherapist. These also reflect tensions in the curricula. Enhancing communication in student education requires all parties to understand, value and critically reflect on how communication is constructed and enacted.
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Tephillah, Mrs S., Bavithra J, and Isaiyamuthu S. "Cloud Based Virtual Analysis of Patients and Automatic Assistance Using ML." International Journal of Advanced Research in Science, Communication and Technology, April 16, 2021, 60–85. http://dx.doi.org/10.48175/ijarsct-969.

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Human Activity Recognition is one of the active research areas in computer vision for various contexts like security surveillance, health care and human computer interaction. Parkinson's disease is a brain disorder that leads to shaking, stiffness, and difficulty with walking, balance and coordination. Parkinson's symptoms usually begin gradually and get worse over time. As the disease progresses, people may have difficulty in walking and talking. The objective of the project is to train a machine-learning based model using Artificial Neural Network (ANN) and K-means algorithm. This model helps the patient with Parkinson’s disease to understand their actions and identify the error in their movements. The kinect camera captures the actions of the patient and transforms those into Gray scale image and depth view. The advantage of this system is to prevent the patient from going clinic thereby saving the time of physically challenged people. The proposed virtual Physiotherapist (PT) system has the potential of enabling on demand virtual care and significantly reducing cost for both patients and care providers.
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Jaxa-Rożen, Hanna. "Linguistic record of suffering in pain disease (Wallenberg syndrome) in “The Diary without vowels” by Aleksander Wat." Physiotherapy 24, no. 1 (January 1, 2016). http://dx.doi.org/10.1515/physio-2016-0002.

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AbstractThe elaboration is rooted in the humanities, it constitutes a so-called case study and it suits the discussion on the significance of psychosocial, biographic and axiological factors in the study of people with disabilities. The Diary by Aleksander Wat, a poet and intellectualist constitutes an extraordinary and the only such mature testimony of suffering written in Polish, a linguistic record of pain in Wallenberg syndrome. Raising awareness and the holistic approach to disability is particularly important if rehabilitation is almost impossible. Apart from physical pain, mental pain is equally significant, and a physiotherapist with their compassion and understanding can significantly alleviate suffering of the patient and their loved ones. In the elaboration significance of the humanistic coefficient is highlighted, the application of which in the rehabilitation interaction protects both sides of the contact from the asymmetry of power relations.
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Fryer, Caroline, Andrea Sturm, Roswith Roth, and Ian Edwards. "Scarcity of resources and inequity in access are frequently reported ethical issues for physiotherapists internationally: an observational study." BMC Medical Ethics 22, no. 1 (July 20, 2021). http://dx.doi.org/10.1186/s12910-021-00663-x.

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Abstract Background Little is known about the ethical situations which physiotherapists encounter internationally. This lack of knowledge impedes the ability of the profession to prepare and support physiotherapists in all world regions in their ethical practice. The purpose of the study was to answer the following research questions: What types of ethical issues are experienced by physiotherapists internationally? How frequently are ethical issues experienced by physiotherapists internationally? Can the frequency and type of ethical issue experienced by physiotherapists be predicted by sociodemographic, educational or vocational variables? Methods An observational study was conducted in English using an online survey from October 2018 to May 2019. Participants were 1212 physiotherapists and physiotherapy students located internationally which represented less than 1% of estimated number of physiotherapists worldwide at that time. The survey questionnaire contained 13 items requesting demographic detail and knowledge of ethical codes and decision-making, and 46 items asking what frequency participants experienced specific ethical issues in four categories: (A) Physiotherapist and patient interaction (19 items), (B) Physiotherapist and other health professionals including other physiotherapists (10 items), (C) Physiotherapists and the system (5 items) and (D) Professional and economic ethical situations (12 items). Results The two most frequently experienced ethical issues were ‘Scarce resources and time affecting quality of physiotherapy treatment’ and ‘Physiotherapy not accessible to all people in society who need it’. These items were experienced, on average, more often than monthly. Interprofessional practice also presented frequent ethical issues for participants. Ethical issues related to the context of ‘Physiotherapists and the system’ were most frequently experienced for all world regions. Working longer years in physiotherapy and learning about ethics in basic physiotherapy education was associated with participants reporting lower frequencies of ethical issues across all contexts. Conclusion This study provides the first global profile of ethical issues experienced by physiotherapists. Societal and cultural systems are key influences on physiotherapists’ ethical practice. Physiotherapists globally need support from their work organisations, academic institutions and professional associations, and robust ethical training, to assist them to be active moral agents in their practice.
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Bouteraa, Yassine, Ismail Ben Abdallah, Ahmed ElMogy, Atef Ibrahim, Usman Tariq, and Tariq Ahmad. "A Fuzzy Logic Architecture for Rehabilitation Robotic Systems." International Journal of Computers Communications & Control 15, no. 4 (June 8, 2020). http://dx.doi.org/10.15837/ijccc.2020.4.3814.

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Robots are highly incorporated in rehabilitation in the last decade to compensate lost functions in disabled individuals. By controlling the rehabilitation robots from far, many benefits are achieved. These benefits include but not restricted to minimum hospital stays, decreasing cost, and increasing the level of care. The main goal of this work is to have an effective solution to take care of patients from far. Tackling the problem of the remote control of rehabilitation robots is undergoing and highly challenging. In this paper, a remote wrist rehabilitation system is presented. The developed system is a sophisticated robot ensuring the two wrist movements (Flexion /extension and abduction/adduction). Additionally, the proposed system provides a software interface enabling the physiotherapists to control the rehabilitation process remotely. The patient’s safety during the therapy is achieved through the integration of a fuzzy controller in the system control architecture. The fuzzy controller is employed to control the robot action according to the pain felt by the patient. By using fuzzy logic approach, the system can adapt effectively according to the patients’ conditions. The Queue Telemetry Transport Protocol (MQTT) is considered to overcome the latency during the human robot interaction. Based on a Kinect camera, the control technique is made gestural. The physiotherapist gestures are detected and transmitted to the software interface to be processed and be sent to the robot. The acquired measurements are recorded in a database that can be used later to monitor patient progress during the treatment protocol. The obtained experimental results show the effectiveness of the developed remote rehabilitation system.
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Rimkutė, Evelina, Eglė Radzevičienė, and Brigita Kreivinienė. "The Impact of Physiotherapy in the Water Assisted by Dolphins for Motor Skills of Patient after Haemorrhagic Stroke (Case Analysis)." Reabilitacijos mokslai: slauga, kineziterapija, ergoterapija 1, no. 20 (October 3, 2019). http://dx.doi.org/10.33607/rmske.v1i20.783.

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Background. Stroke is one of the leading causes of morbidity, mortality and long-term disability worldwide. In terms of innovative technologies which help to recover from stroke one of the newest and least researched methods is physiotherapy in the water assisted by dolphins. Such an innovative case study was conducted in Lithuania. A great variety of scientifc literature on animal assisted therapies and interventions can be found worldwide, however, concerning research on human-animal interaction mechanisms a scientifc gap is still existing as presented in various journals of different felds (Beetz et al., 2012). The aim of the study was to determine the effectiveness of healing exercises in the water assisted by dolphins for motor skills of patients with haemorrhagic stroke. Methods. The study was carried out at the Dolphin Therapy Centre of the Lithuanian Sea Museum. The study lasted two weeks. The sample was a man diagnosed with a haemorrhagic stroke. The research data was collected on motor skills in the water, leg muscle strength, coordination, balance and gait. The patient participated in ten therapeutic activities in the water, assisted by dolphins (length of one activity – 30 minutes). The physiotherapist working with the patient applied balance and coordination exercises in the water. The status of the patient was evaluated four times: before activities with dolphins, after fve activities with dolphins, after ten activities with dolphins, and follow up in three weeks after ending the activities with dolphins. Results. The muscle strength of legs increased signifcantly in the foot group and slightly in the lower limb muscle group. The greatest result in balance was registered after ten therapeutic activities with dolphins in the water. The greatest improvement in coordination and walking occurred later. Assessing motor skills in the water, a signifcant positive change in equilibrium was observed. Conclusions. The results of the study showed that physiotherapy exercises in the water assisted by dolphins might help to achieve improvements in motor skills.Keywords: haemorrhagic stroke, motor skills in the water, balance, gait, therapeutic activities for assisting dolphins, physiotherapy in water.
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