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Physiotherapy: what to expect

elderly people fun

Here is a interesting short piece about physiotherapy coming from the 50plus.com website – a Canadian website providing content, community and commerce for people over the age of 50.

Personally, I liked this quote: “Physiotherapy is an evidence-based discipline: rather than being rooted in a particular philosophical point of view, physiotherapists are trained in techniques that can be scientifically proven. This makes it a good match for Western-based medicine, and indeed physiotherapists are often fully integrated as a part of a team in hospitals and rehabilitation centres.”

Take a quick look on the full text here.

Thanks for Mary Cross for the heads up 🙂

** Photo by foreversouls

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Fun Main

Friday Fun – librarian humour this time

A bit of library professional humour this Friday – I hope you could laugh with me 🙂

By legendary Stephen Fry and Hugh Laurie.

David Rothman had the lead – thanks David!

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Main Physiotherapy and Web 2.0 Research Top Physiotherapy Journals - Current Tables of Contents

Top Physio journals alerts – current awareness

up to date

We all want to stay up-to-date with our area of expertise, aren’t we? We all want to see the last research in our field. However, many of us don’t have time and money to do that properly.

Till today!

From today, you have a one stop latest physio research update on our blog. Below, you will see the latest articles published in each of the seven major physiotherapy journals: Physical therapy, Physiotherapy Canada, The Australian Journal of Physiotherapy, Physiotherapy, Physiotherapy Research International, Pediatric Physical Therapy, and The Journal of Orthopaedic and Sports Physical Therapy.

Scroll down the list to find the journal title, click on it, and you will see all articles published in its last issue. Isn’t it pretty cool? The list is dynamic and updates itself automatically when the new content is published.

If you want technicalities, all that is done by RSS feeding from PubMed and CINAHL databases for relevant journals. The moment those articles go online – they appear here on our pages!

Don’t like coming to the blog for the updates? No problems. If you are a PABC member, take a look on the list of the journals below, and let me know by email if you want to receive a table of contents of the most recent journal issue. I will be getting the table of contents the same moment that journal is indexed in PubMed and could forward it to you right away!

Does it make sense? Is it helpful? Drop me a note or leave a comment below.

** Photo by mick y

Click on the journal title to display the latest table of contents:

Are we having fun yet?

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In the news Main Research

2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children

kids run exercise

Here is the very recently updated Canadian clinical practice guidelines on the management and prevention of obesity in adults and children, published in the April 10th issue of CMAJ – CMAJ. 2007 Apr 10;176(8):S1-13.

It was compiled by a comprehensive committee of Canadian and international health experts.

Read the whole thing in full text here

If you are terribly busy – like most of us are these days – read just the Synopsis of the 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children in CMAJ here.

Must read!

** Photo by eschipul

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Fun Main Physiotherapy and Web 2.0

Friday Fun – Web 2.0 … The Machine is Us/ing Us

** For RSS readers, please note that there is a video embedded in this post

Today’s video would talk mostly to those physios who are pretty comfortable with technology, and my colleagues – librarians who read this blog.

However, those folks in clinical practice – please take a look on this short video created by a cultural anthropology prof – Matt Wesch to see what kind of digital world we have to work in even now, not even mentioning our children…I don’t even imagine how that world will look like when my daughter – Tal (who is ten months old tomorrow 🙂 grows up……interesting times just ahead of us….

Have a sunny and peaceful weekend everybody!

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In the news Main Research

Interventions for preventing and treating pelvic and back pain in pregnancy – a newly updated Cochrane review

pregnancy exercises

Stretching exercises, special pillows and acupuncture could help relieve back and pelvic pain that often occur during pregnancy, according to an updated Cochrane review – the very high level of evidence in medicine >> Pennick VE, Young G. Interventions for preventing and treating pelvic and back pain in pregnancy (Review). Cochrane Database of Systematic Reviews 2007, Issue 2..

The review purpose was to assess the effects of interventions for preventing and treating back and pelvic pain in pregnancy.

The main finding were: “We found no studies dealing specifically with prevention of back or pelvic pain. We included eight studies (1305 participants) that examined the effects of adding various pregnancy-specific exercises, physiotherapy, acupuncture and pillows to usual prenatal care.For women with low-back pain, participating in strengthening exercises, sitting pelvic tilt exercises (standardised mean difference (SMD) -5.34; 95% confidence interval (CI) -6.40 to -4.27), and water gymnastics reduced pain intensity and back pain-related sick leave (relative risk (RR) 0.40; 95% CI 0.17 to 0.92) better than usual prenatal care alone.The specially-designed Ozzlo pillow was more effective than a regular one in relieving back pain (RR 1.84; 95% CI 1.32 to 2.55), but is no longer commercially available. Both acupuncture and stabilising exercises relieved pelvic pain more than usual prenatal care. Acupuncture gave more relief from evening pain than exercises. For women with both pelvic and back pain, in one study, acupuncture was more effective than physiotherapy in reducing the intensity of their pain; stretching exercises resulted in more total pain relief (60%) than usual care (11%); and 60% of those who received acupuncture reported less intense pain, compared to 14% of those receiving usual prenatal care. Women who received usual prenatal care reported more use of analgesics, physical modalities and sacroiliac belts.”

The authors, lead by Victoria Pennick, M.H.Sc., registered nurse and lead review author concluded that: “All but one study had moderate to high potential for bias, so results must be viewed cautiously. Adding pregnancy-specific exercises, physiotherapy or acupuncture to usual prenatal care appears to relieve back or pelvic pain more than usual prenatal care alone, although the effects are small. We do not know if they actually prevent pain from starting in the first place. Water gymnastics appear to help women stay at work. Acupuncture shows better results compared to physiotherapy.”

Take a look on the structured abstract of this review in PubMed – Pennick VE, Young G. Interventions for preventing and treating pelvic and back pain in pregnancy (Review). Cochrane Database of Systematic Reviews 2007, Issue 2..

** Photo by sean dreilinger

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Main Research

Prevalence of fruit and vegetable consumption and physical activity by race/ethnicity in US

jogging

U.S.national survey data showed that grown-ups are not eating enough fruits and vegetables or getting enough regular exercise, especially white men, non-Hispanic black women, and Hispanic women, reported Judy Kruger, Ph.D., and colleagues in the April 6 issue of the CDC’s Morbidity and Mortality Weekly Report.

The Centers for Disease Control and Prevention reports that: “Among men, engaging in regular physical activity was significantly less common for non-Hispanic blacks (45.9%), Hispanics (42.5%), and A/PIs (37.5%) than for non-Hispanic whites (52.5%). Among women, regular physical activity was significantly lower among non-Hispanic blacks (36.3%) and Hispanics (42.3%) than among non-Hispanic whites (49.8%).”

To measure physical activity, respondents were asked how often they engaged in physical activities of moderate intensity (i.e., brisk walking, bicycling, vacuuming, gardening, or anything else that causes small increases in breathing or heart rate) and vigorous intensity (i.e., running, aerobics, heavy yard work, or anything else that causes large increases in breathing or heart rate) for at least 10 minutes at a time in a usual week. Respondents were classified as being regularly active if they reported engaging in moderate-intensity activity at least 30 minutes per day, 5 or more days per week, or vigorous-intensity activity at least 20 minutes per day, 3 or more days per week. Respondents were classified as insufficiently active if they reported engaging in physical activity for at least 10 minutes per week, but did not meet the requirements for regular activity. Respondents who reported no instances of physical activity of >10 minutes’ duration during a usual week were classified as inactive.

Read the whole report in full text here.

Do you encourage your patients to exercise? Do you exercise enough yourself?

** Photo by siebe

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Fun Main

Friday Fun – Marge Simpson Googling herself :)

Here is a very short clip from YouTube – RSS readers , please note that there is a video embedded 🙂

Marge Simpson Googling herself 🙂 By the way, when you Google your name – put it in quotation marks, like “Eugene Barsky”, which will instruct the search engine to search for that particular phrase somewhere on the Web – it is more precise.

Have a great weekend! It is definitely going to be sunny here in Vancouver…

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Main Research

A systematic review of studies comparing health outcomes in Canada and the United States

spring

There is a new open access medical journal in Canada; and it has a bright future. Open Medicine was launched last month – April 2007 by a team of Canadian physicians and health professionals (including a health librarian).

The inaugural issue included this particular study –“ A systematic review of studies comparing health outcomes in Canada and the United States” written by two prominent clinicians in evidence-based medicine – Gordon Guyatt and P.J. Devereaux at McMaster University – and an interprofessional group of researchers from Canada and the United States.

The researchers’ purpose was to systematically review studies comparing health outcomes in the United States and Canada among patients treated for similar underlying medical conditions.

The paper shows that Canada’s healthcare system is as good or better than the United States’ and delivers care at half the cost. While neither country can claim hegemony, politicians and policy makers will note that health outcomes may be superior in Canada versus the United States, and are consistently as good.

Read the full study available here

** Photo by Ozyman

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Main Research

Journal of Manual & Manipulative Therapy – new issue online

spring

Peter Huijbregts has kindly let me know that the new issue of Journal of Manual & Manipulative Therapy is up online now. As usual, there is lots of free content, take a look yourself >> Volume 15, Number 1

** Photo by creativity+

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