Practical Evidence-Based Physiotherapy

Product Details
Publisher: Butterworth-Heinemann
ISBN: 0750688208
Format: PDF
Size: 1.95 MB

Product Description
Authored by an international team of experts especially for physiotherapists, this new, one-of-a-kind resource examines evidence-based practice in physiotherapy - defining what constitutes evidence and how to implement findings in the day-to-day clinical setting. It discusses government and professional requirements for evidence-based medicine and clinical reasoning, and offers easy-to-follow guidelines for finding and applying evidence. It also offers useful strategies for determining whether benefits provided by physiotherapy interventions are significant enough to make the intervention worthwhile.

Table of Contents
Chapter 1. Evidence-Based Physiotherapy: What, Why and How?
What is evidence-based physiotherapy?
Why is evidence-based physiotherapy important?
History of evidence-based health care
How will this book help you to adopt evidence-based physiotherapy?
Chapter 2. What Do I Need To Know?
Relevant clinical questions
Refining your questions
Chapter 3. What Constitutes Evidence?
What constitutes evidence about effects of interventions?
What constitutes evidence about experiences and processes?
What constitutes evidence about prognosis?
What constitutes evidence about the accuracy of diagnostic and screening tests?
Chapter 4. Finding The Evidence
Search strategies
Finding evidence of effects of interventions
Finding evidence of prognosis and diagnostic tests
Finding evidence of effects of experiences and attitudes
Finding evidence of advances in clinical practice (browsing)
Chapter 5. Can I Trust This Evidence?
A process for assessing validity of evidence
Assessing validity of evidence about effects of intervention
Assessing validity of evidence about attitudes and experiences
Critical appraisal of evidence about prognosis
Critical appraisal of evidence about diagnostic tests
Chapter 6. What Does This Evidence Mean For My Practice?What does this randomized trial mean for my practice?
What does this systematic review of effects of intervention mean for my practice?
Is the evidence relevant to me and my patients?
What does the evidence say?
What does this study of attitudes and experiences mean for my practice?
What does this study of prognosis mean for my practice?
What does this study of the accuracy of a diagnostic test mean for my practice?
Chapter 7. Clinical Guidelines As A Resource For Evidence-Based Physiotherapy
What Are Clinical Guidelines?
History Of Clinical Guidelines And Why They Are Important
Where Can I Find Clinical Guidelines?
How do I know if I can trust the recommendations in a clinical guideline?
Legal implications of clinical guidelines
Reflections on the future of guideline development
Chapter 8. Making It Happen
What do we mean by 'making it happen'?
Changing is hard
Evidence-based implementation
Evidence-based practice in the context of quality improvement
Chapter 9. Am I On The Right Track?
Assessing Patient Outcomes - Clinical Measurement
Assessing process - audit
Concluding comments

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Diagnostico y Tratamiento de Las Alteraciones del Movimiento

Con este aporte me consagro!!!!! el que sabe, sabe....

Esta obra describe, por una parte, los cambios provocados por las actividades diarias en los patrones de movimiento y, por otra, las exploraciones básicas y las medidas fisioterapéuticas que se pueden usar para crear un sistema de clasificación basado en los sà ndromes de alteración del movimiento. Se proponen tres modelos de sistemas de movimiento cinesiológico, patocinesiológico y cinesipatológico y sus diferentes relaciones con las alteraciones del movimiento para luego explicar y describir el desarrollo y caracterà sticas de las mismas. A continuación, se estudian los sà ndromes de alteración del movimiento de la región lumbar, de la cadera, del hombro y del tren inferior siguiendo un patrón de descripción del dolor y los sà ntomas relevantes, asà como de las alteraciones de la alineación, patrones de reclutamiento, laxitud y rigidez relativa y de la longitud y fuerza musculares. El lector encontrará que cada sà ndrome se ilustra con la presentación de un caso y que se desarrollan las exploraciones de confirmación, la descripción y el programa terapéutico. Asimismo, se presenta un programa de ejercicios que sustenta las correcciones de la mecánica corporal y la ejecución de las actividades diarias; al tiempo que se ajusta a la exploración lo que permite que mientras el terapeuta lleva a cabo la exploración pueda ir decidiendo los ejercicios concretos que incluirá en el programa de ejercicios del paciente.

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password: gigle.ws

Effectiveness of physical therapy interventions for children with cerebral palsy: A systematic review

Background: To assess the effectiveness of physical therapy (PT) interventions on functioning in children with cerebral palsy (CP). Methods: A search was made in Medline, Cinahl, PEDro and the Cochrane library for the period 1990 to February 2007. Only randomized controlled trials (RCTs) on PT interventions in children with diagnosed CP were included. Two reviewers independently assessed the methodological quality and extracted the data. The outcomes measured in the trials were classified using the International Classification of Functioning, Disability and Health (ICF).
Results: Twenty-two trials were identified. Eight intervention categories were distinguished. Four trials were of high methodological quality. Moderate evidence of effectiveness was established for two intervention categories: effectiveness of upper extremity treatments on attained goals and active supination, and of prehensile hand treatment and neurodevelopmental therapy (NDT) or NDT twice a week on developmental status, and of constraint-induced therapy on amount and quality of hand use. Moderate evidence of ineffectiveness was found of strength training on walking speed and stride length. Conflicting evidence was found for strength training on gross motor function. For the other intervention categories the evidence was limited due to low methodological quality and the statistically insignificant results of the studies. Conclusion: Due to limitations in methodological quality and variations in population, interventions and outcomes, mostly limited evidence on the effectiveness of most PT interventions is available through RCTs. Moderate evidence was found for some effectiveness of upper extremity training. Well-designed trials are needed especially for focused PT interventions.

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Curso de Kinesiterapia en CLC

Motor control and the management of musculoskeletal dysfunction

This paper aims to develop understanding of three important motor control issues—feedforward mechanisms, cortical plasticity and task-specificity and assess the implications for musculoskeletal practice.

Paulette M. van Vliet
Nicola R. Heneghanb

Manual Therapy 11 (2006) 208–213

Que sea de provecho.. saludos!!

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III JORNADAS DE KINESIOLOGIA EN TRAUMATOLOGIA

Amigos, les subo información de una jornada de Kinesiología que se realizará el día 24 de Octubre en la Clínica Las Condes.

Para más información descárgate el afiche.

Saludos!

Curso Lumbar 2009

El dolor lumbar es uno de los motivos de consulta más frecuente en los centros de salud. Se estima que un 70%-85% de la población en algún momento de su vida sufrirá un cuadro de dolor lumbar, de los cuales, alrededor de un 80%-90% de los episodios de dolor lumbar tendrían una resolución espontánea, un 15% se resolverá entre 6-8 semanas y se estima que un 2-5% desarrollará discapacidad y dolor lumbar crónico.Es de consenso mundial que el enfoque terapéutico del síndrome de dolor lumbar debe basarse en un modelo biopsicosocial, donde el
componente psicológico es el más relevante. Sin embargo, los clínicos sabemos que la resolución de la disfunción del componente mecánico es esencial para lograr una adecuada rehabilitación integral del sujeto.



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