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The Influence of the Therapist-Patient Relationship on Treatment Outcome in Physical Rehabilitation: A Systematic Review
2010
The working alliance, or collaborative bond, between client and psychotherapist has been found to be related to outcome in psychotherapy.
The purpose of this study was to investigate whether the working alliance is related to outcome in physical rehabilitation settings.
A sensitive search of 6 databases identified a total of 1,600 titles.
Prospective studies of patients undergoing physical rehabilitation were selected for this systematic review.
For each included study, descriptive data regarding participants, interventions, and measures of alliance and outcome-as well as correlation data for alliance and outcomes-were extracted.
Thirteen studies including patients with brain injury, musculoskeletal conditions, cardiac conditions, or multiple pathologies were retrieved. Various outcomes were measured, including pain, disability, quality of life, depression, adherence, and satisfaction with treatment. The alliance was most commonly measured with the Working Alliance Inventory, which was rated by both patient and therapist during the third or fourth treatment session. The results indicate that the alliance is positively associated with: (1) treatment adherence in patients with brain injury and patients with multiple pathologies seeking physical therapy, (2) depressive symptoms in patients with cardiac conditions and those with brain injury, (3) treatment satisfaction in patients with musculoskeletal conditions, and (4) physical function in geriatric patients and those with chronic low back pain.
Among homogenous studies, there were insufficient reported data to allow pooling of results.
From this review, the alliance between therapist and patient appears to have a positive effect on treatment outcome in physical rehabilitation settings; however, more research is needed to determine the strength of this association.
Journal Article
NASM essentials of sports performance training
\"New Content Based upon feedback from past students and Sports Performance Professionals, this new textbook includes several new updates in comparison to the previous performance enhancement materials: 1. Streamlined OPTTM Model--The OPTTM model has been simplified to include six of the most commonly used phases of training for sports performance goals, versus the previous seven-phase model. The one phase of training that is no longer included in this performance version of the model, Corrective Exercise Training, is a specialized form of training that would be used for athletes who've come off an injury and prepares the athlete to enter into the OPTTM model. This form of training is covered exclusively in NASM's Corrective Exercise Specialist course. 2. Revised Model Nomenclature--We've also renamed the phases so it is easier to understand the exact function and desired adaptation for that phase of training. 3. Additional Chapters--This textbook includes several new chapters not included in the previous performance enhancement materials. These additional chapter topics will assist in creating a more well-rounded Sports Performance Professional and thus in creating more value in you as a professional. These additional chapters include: ? Cardiorespiratory Training for Performance Enhancement ? Olympic Lifting for Performance Enhancement ? Current Concepts in Injury Prevention and Reconditioning ? Ergogenic Aids ? Sports Psychology\"-- Provided by publisher.
Enhancing Healthcare and Rehabilitation
by
Dave J. Muller
,
Christopher M. Hayre
in
BIOMEDICALSCIENCEnetBASE
,
Elder care
,
Healthcare Management
2019
Summary Description
This book is primarily a celebration of the qualitative work undertaken internationally by a number of experienced researchers. It also focuses on developing the use of qualitative research for health and rehabilitative practitioners by recognizing its value methodologically and empirically. We find that the very nature of qualitative research offers an array of opportunities for researchers in being able to understand the social world around us. Further, through experience and discussion, this book identifies the multifaceted use of qualitative methods in the healthcare and rehabilitative setting. This book touches on the role of the researcher, the participants involved, and the research environment. In short, we see how these three central elements can affect the nature of qualitative work in attempts to offer originality. This text speaks to a number of audiences. Students who are writing undergraduate dissertations and research proposals, they may find the myriad of examples stimulating and may support the rationale for methodological decisions in their own work. For academics, practitioners, and prospective qualitative researchers this book also aims to demonstrate an array of opportunism in the field of qualitative research and how they may resonate with arguments proffered. It is anticipated that readers will find this collection of qualitative examples not only useful for informing their own research, but we also hope to enlighten new discussions and arguments regarding both methodological and empirical use of qualitative work internationally.
Features
Encompasses the importance of qualitative research and how it can be used to facilitate healthcare and rehabilitation across a wide range of health conditions.
Evaluates empirical data whilst critically applying it to contemporary practices.
Provides readers with an overview with future directions and influence policy makers in order to develop practice.
Focuses on an array of health conditions that can affect groups of the population, coincided with life issues and the care and family support received.
Offers innovative methodological insights for prospective researchers in order to add to the existing evidence base.
1. Introduction. 2. Qualitative Research in Rehabilitation. 3. Children and Young Adults. 4. Life Issues. 5. Older People. 6. Caregivers and Family Support. 7. Policymakers.
'As an introduction to qualitative work in rehabilitation settings with a focus on the perspective of healthcare professionals, this book provides sufficient information and examples of qualitative research that has been conducted by experts in their respective fields. This book is worth reading and I recommend it. The qualitative examples are useful for helping to inform readers about their own research and for demonstrating the value of qualitative research both methodologically and empirically.' - Dominique Kinnett-Hopkins , Northwestern University Feinberg School of Medicine
Dr. Hayre is currently a lecturer in diagnostic radiography at the University of Suffolk. He has published both qualitative and quantitative refereed papers in the field of diagnostic radiography. He founded the Journal of Social Science & Allied Health Professions and remains Editor in Chief. He is currently writing a book chapter surrounding sustainable practices in medical imaging and is currently a visiting lecturer at the Odisee University in Brussels.
Professor Muller is currently Editor of the CRC series with Professor Marcia Scherer on Rehabilitation Science in Practice. He was founder Editor of the Journal Aphasiology and is currently Editor in Chief of the Journal Disability and Rehabilitation. He has published over forty refereed papers and has been involved either as Series Editor, Editor or Author of over fifty books. He is a visiting Professor at the University of Suffolk, United Kingdom.
Medicine ball workouts : strengthen major and supporting muscle groups for increased power, coordination, and core stability
Details medicine ball exercises for beginners and advanced athletes.
A call for improving of musculoskeletal education on physical medicine and rehabilitation studies: a systematic review with meta-analysis
2024
Background
The incidence of musculoskeletal diseases is increasing in clinical practice, leading to a growing demand for rehabilitation medicine. However, education in musculoskeletal education is lacking in the training of physical medicine and rehabilitation students. This study aims to evaluate the impact of musculoskeletal education on medical students’ learning of rehabilitation medicine and analyze the correlation between influencing factors and education.
Objectives
The primary objective of this study is to evaluate the impact of musculoskeletal education on medical students’ learning of rehabilitation medicine. Furthermore, the authors aim to analyze the correlation between various influencing factors and the effectiveness of this education, with the goal of informing future educational interventions and enhancing student outcomes.
Methods
A comprehensive search was conducted across the Pubmed, Ovid, and Cochrane Central Register of Controlled Trials (CENTRAL) databases for relevant articles published from January 2012 to September 2024. The search focused on medical students as the research subjects and musculoskeletal education as the intervention method. Both randomized controlled trials (RCTs) and non-randomized controlled trials (non-RCTs) were included. The selected studies underwent a systematic review, and meta-analysis was performed using R 3.4.4 software.
Results
After a thorough search, 41 studies were included. The retrospective study indicated that the most common impacts were knowledge acquisition, self-confidence, and satisfaction. The subsequent meta-analysis revealed significant increases in students’ knowledge acquisition [standardized mean differences (SMD) = 2.15, 95% confidence interval [CI] (1.36, 2.94),
I
2
= 97%, random effect model] and self-confidence [SMD = 5.81, 95% CI (2.88, 8.75),
I
2
= 97%, random effect model]. Compared with the general teaching control group, the knowledge acquisition of students in the observation group improved [SMD = 0.25, 95% CI (0.00, 0.51),
I
2
= 83%, in the random effect model]; However, no significant difference in satisfaction occurred [SMD = 0.27, 95% CI (-0.47, 1.01),
P >
0.05,
I
2
= 89%, in the random effects model].
Conclusion
Musculoskeletal education primarily impacts knowledge acquisition self-confidence, and satisfaction among physical medicine and rehabilitation students. The meta-analysis further establishes that musculoskeletal education significantly enhances knowledge acquisition and confidence in these students.
Trial registration
CRD42024563899 (completed on July 17, 2024).
Journal Article
Routledge handbook of sports therapy, injury assessment and rehabilitation
by
Ward, Keith (Keith D.), editor
in
Sports injuries Treatment.
,
Sports physical therapy.
,
Sports medicine.
2018
The work of a sports therapist is highly technical, and requires expertise in numerous disciplines. This is a comprehensive reference for those studying or working in this field and covers the following areas: biomechanics, massage, anatomy, performance, assessment, and psychology.
Simulation Experience Enhances Physical Therapist Student Confidence in Managing a Patient in the Critical Care Environment
by
Marcilene Lazarus
,
Michael Rosen
,
Rebecca Schillo
in
Adult
,
Care and treatment
,
Clinical Competence
2013
Rehabilitation of patients in critical care environments improves functional outcomes. This finding has led to increased implementation of intensive care unit (ICU) rehabilitation programs, including early mobility, and an associated increased demand for physical therapists practicing in ICUs. Unfortunately, many physical therapists report being inadequately prepared to work in this high-risk environment. Simulation provides focused, deliberate practice in safe, controlled learning environments and may be a method to initiate academic preparation of physical therapists for ICU practice.
The purpose of this study was to examine the effect of participation in simulation-based management of a patient with critical illness in an ICU setting on levels of confidence and satisfaction in physical therapist students.
A one-group, pretest-posttest, quasi-experimental design was used.
Physical therapist students (N=43) participated in a critical care simulation experience requiring technical (assessing bed mobility and pulmonary status), behavioral (patient and interprofessional communication), and cognitive (recognizing a patient status change and initiating appropriate responses) skill performance. Student confidence and satisfaction were surveyed before and after the simulation experience.
Students' confidence in their technical, behavioral, and cognitive skill performance increased from \"somewhat confident\" to \"confident\" following the critical care simulation experience. Student satisfaction was highly positive, with strong agreement the simulation experience was valuable, reinforced course content, and was a useful educational tool.
Limitations of the study were the small sample from one university and a control group was not included.
Incorporating a simulated, interprofessional critical care experience into a required clinical course improved physical therapist student confidence in technical, behavioral, and cognitive performance measures and was associated with high student satisfaction. Using simulation, students were introduced to the critical care environment, which may increase interest in working in this practice area.
Journal Article