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Effectiveness of physiotherapy exercise after knee arthroplasty for osteoarthritis: systematic review and meta-analysis of randomised controlled trials.

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This is a very recent article published in the venerable BMJ – 2007 Sep 20. The authors wanted to evaluate the effectiveness of physiotherapy exercise after elective primary total knee arthroplasty in patients with osteoarthritis.

This is a high quality study – systematic review and meta-analysis of randomised controlled trials.

The UK-based authors concluded that: “Interventions including physiotherapy functional exercises after discharge result in short term benefit after elective primary total knee arthroplasty. Effect sizes are small to moderate, with no long term benefit.”

Please read the free full text on the BMJ site here.

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In the news Main Research

Profiles of Ethnic Communities in Canada

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Here is a very recent Statistics Canada compilation of data about various ethnic communities in our country.

Even though it is not directly physiotherapy related, I am assured that you will find it useful in understanding your multicultural clients 🙂

Take a look

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Main Research

New issues of Physical Therapy and Journal of Orthopaedic & Sports Physical Therapy are online in PubMed now

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The new issues of Physical Therapy (2007 Sep 4) and Journal of Orthopaedic & Sports Physical Therapy (2007 Aug;37(8))

As usual, to view the table of contents of both journals, click on the “Top Physiotherapy Journals – Current Tables of Contents” link on the right hand side of this blog, scroll down to the appropriate journal’s title and click on it – a new window with the most recent table of contents will open up with your results.

** Photo by Dru!

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Main Research

Exercise for Older Patients Who Are Acutely Hospitalized

elderly exercise

In July 1, 2007 issue of American Family Physician, there was a short “Cochrane brief” piece on – “Exercise for Older Patients Who Are Acutely Hospitalized”

Cochrane Briefs from the American Family Physician are excellent, short, clinically-oriented articles that discuss a recent Cochrane review about a specific topic.

This one is not an exception. Please read the whole thing in full text here (scroll down to the second Cochrane article).

** photo by sparkle glowplug

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Main Research

New issues of Physiotherapy and Physiotherapy Canada are online in CINAHL database

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The new issues of Physiotherapy – 2007 Sep; 93 (3) and Physiotherapy Canada – 2007 Summer; 59 (3) are online in CINAHL database now.

Reminder: PABC members can now access the full text of both journals using our online electronic library accessible via PABC members only site.

To view the table of contents of both journals, click on the “Top Physiotherapy Journals – Current Tables of Contents” link on the right hand side of this blog, scroll down to the appropriate journals title and click on it – a new window with the most recent table of contents will open up with your results.

** photo by Dru!

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Main Research

New issue of Journal of Manual and Manipulative Therapy is available on their website

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The latest issue of the Journal of Manual and Manipulative Therapy is available online at: http://jmmtonline.com/current/.

From the editors email to this blog:

In addition to subscriber-only material –which for this issue includes a paper by Cleland et al on the relevance of audible cavitation when providing thoracic manipulation to patients with mechanical neck pain, a paper by Fleming et al on prognostic variables for patients with cervicogenic headache, and a paper by Pettman on the history of manipulative therapy—we have as always also made relevant material available online for non-subscribers.

The open-access material for this issue includes the abstracts of all presentations for the upcoming AAOMPT conference in St. Louis, MO (http://jmmtonline.com/documents/v15n3/AAOMPTV15N3.pdf ); a paper by Graziano et al illustrating and discussing clinical reasoning with regard to cervical artery compromise (http://jmmtonline.com/documents/v15n3/GrazianoV15N3E.pdf); some very interesting letters to the editor on the topics of chiropractic challenges to the PT scope of practice and classification and management of low back pain (http://jmmtonline.com/documents/v15n3/LetterstotheEditorV15N3E.pdf); and an announcement of awards bestowed on two most deserving PT colleagues, Brian Mulligan and Robin McKenzie (http://jmmtonline.com/documents/v15n3/WCPTAwardsV15N3E.pdf).

We invite you all to visit, read, and perhaps contribute by way of a submitted paper or letter to the editor.

Enjoy 😉

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Main Research

New issue of Australian Journal of Physiotherapy is online in PubMed now

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The last issue – 2007;53(3) – of the Australian Journal of Physiotherapy is online in PubMed now.

View the table of contents via our – “Top Physiotherapy Journals – Current Tables of Contents” category on the right hand side or click below:

Australian Journal of Physiotherapy

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Main Research

The propensity to adopt evidence-based practice among physical therapists – recent article in BMC Health Services Research

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Here is a very recent article from the BMC Health Services Research 2007, 7:103

The purpose of this study was to: “determine the extent to which personal characteristics and the characteristics of the social system in the workplace influence the propensity of physical therapists to adopt EBP.”

Some of the results:

There was a moderate association between desire for learning, highest degree held, practicality and nonconformity, and the propensity to adopt EBP. A negative correlation was found between age, years licensed and percentage of time in direct patient care. The findings demonstrated that the best three variables for predicting the propensity to adopt EBP in physical therapy were: desire for learning, highest degree held, and practicality.

The authors concluded that:

The study confirms there is no single factor to facilitate research evidence into day-to-day practice. Multiple practice change strategies will be needed to facilitate change in practice.

You can read this article in full text (free open access) on the BioMed Central site here.

** Photo by TeeJe

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In the news Main Research

Announcing the Electronic Health Library of BC for Physiotherapy Association of British Columbia (PABC) members

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Finally, after weeks of preparations and working on details, we are happy to announce that the Electronic Health Library of BC (eHLbc) is available to all Physiotherapy Association of British Columbia members starting with September 1st.

eHLbc is a collection of online health library resources. The purpose of the eHLbc is to support and improve practice, education, and research in the health sciences.

This is how PABC members will get access to all our resources from any computer with Internet connection (remember – this blog is public, you will need to login to PABC members only site to access eHLbc databases and full text):

1. Go to PABC website – http://www.bcphysio.org
2. Log in with your CPA username and password
3. Click on the Library Services category (third from the top on the left)
4. Click on Databases and Full Text category
5. You will see a list with all our databases and full text, click on the appropriate title to go in and start searching
6. See tips and tutorials for our resources on the Tutorials and Training page under Library Services

What is available to PABC members in this package?

1. CINAHL with Full-text: CINAHL is a database combined with full-text articles covering the fields of nursing, rehabilitation sciences, allied health, biomedicine, alternative/complementary medicine, and consumer health. This is a very good resource for physiotherapy and related topics. It covers unique physiotherapy journals not indexed in PubMed, such as Physiotherapy Canada or Physiotherapy. Moreover, this database includes the following physiotherapy journals in full text: Physiotherapy Canada (01/01/2004 to present), Physical Therapy (01/01/2000 to present), Physiotherapy Research International (03/01/2000 to present), Physiotherapy Theory & Practice (03/01/1999 to present), Physical Therapy Reviews (03/01/2003 to present), and many more. This is one of the most important resources that PABC members get access to via eHLbc.

2. EBMR (Evidence Based Medicine Reviews): This one is very exciting! You may all know that in medicine and health sciences, there is a move towards Evidence Based Practice. This is the resource that summarizes much of the evidence out there. EBMR includes the following databases: Cochrane Database of Systematic Reviews (full-text); Database of Reviews of Abstracts of Effectiveness (full-text abstracts); Cochrane Controlled Trials Register (not full text); ACP Journal Club (full-text). In essence, it means that from now on PABC members have full-text access to all Cochrane reviews! Easy to search and browse, this is certainly the most important resource in Evidence Based Practice in today’s health sciences.

3. PsycINFO and PsycARTICLES: For those of you who deal with psychosocial aspect of health in their work, those are extremely important databases. PsychINFO contains citations and summaries of journal articles, book chapters, and dissertations in the fields of psychology and other social sciences. PsycARTICLES contains full-text articles in general psychology and some allied health – very good coverage.

4. SPORTDiscus with Full Text [TRIAL]: This is a comprehensive international database that covers all aspects of sport and fitness, including: individual and team sports, coaching, exercise physiology, sports medicine, physical fitness, physical education, biomechanics, recreation and leisure, psychology, sociology, history, law, facilities and equipment. This is an excellent resource for all of PABC members practicing sports and orthopedic physiotherapy.

5. EBSCO Biomedical Reference Collection: Comprehensive Edition: This is a full text collection of journals covering such disciplines as clinical medicine, nursing, dentistry, veterinary medicine, pre-clinical sciences and the health care system. It includes some related full text journals with lots of physiotherapy coverage, such as Sports Medicine, Journal of Alternative & Complementary Medicine and many more.

6. LWW Total Access Journal Collection: This is another full text collection of health sciences journals containing essential core journals to specialized resources in such areas as medicine, nursing, and life sciences. Some very useful journals with lots of physiotherapy coverage, like BMJ or Spine are included there is full text!

Any questions? Please let me know!

** Photo by jmv

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Main Research

Fibromyalgia – article in the American Family Physician

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Here is an excellent review article about fibromyalgia published in July 15, 2007 issue of American Family Physician. It provides a great overview of this condition that is frequently treated by physiotherapists.

The article says that: “Although there are no guidelines for treatment, there is evidence that a multidimensional approach with patient education, cognitive behavior therapy, exercise, physical therapy, and pharmacologic therapy can be effective.”

Read the article in full text here .

** Photo by matticgn

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