جستجوی مقالات مرتبط با کلیدواژه « physical therapy modalities » در نشریات گروه « پزشکی »

Despite the breadth and diversity of physiotherapy healthcare services, the entry of physiotherapists into the field of prevention and also direct access of physiotherapists to patients in the world for 10 years ago, Iranian physiotherapists have not had direct access to clients, yet. One way to overcome the current situation and move towards the growth and development of the profession is to identify the opportunities and threats of the field. The purpose of this study is to explain the obstacles to the professional development of physiotherapy from the point of view of graduates of this field. 

In a qualitative study of the content analysis type, the experiences of 12 physiotherapy scholars in three levels of study, bachelor’s, master’s and doctorate were obtained through a structured and semi-in-depth face-to-face interview. Simultaneously, as the data was collected, the data was analyzed based on Granheim and Ludman’s content analysis method.

A total of 28 codes were extracted to explain the obstacles to the development of physiotherapy in Iran, which include “low attention to professional ethics”, “inefficient policies of the Ministry of Health, Treatment and Medical Education” and “traditional teaching methods”.

If the adherence to the principles of professional ethics is not strengthened, the policies of the Ministry of Health and Medical Education (MHTME) cannot facilitate the growth and development of the profession, and fundamental changes in the education and training of students will not take place, not only will the quality of physiotherapy services be lower than international standards, but many high medical expenses will also be imposed on people and insurances.

Despite the direct access to clients in physiotherapy worldwide, Iran has yet to achieve significant improvements in the educational standards and professional responsibilities of physiotherapists. Currently, Iranian physiotherapists do not have direct access to patients. This study aims to present solutions for the professional development of physiotherapy, based on the perspectives of scholars in this field.

This qualitative content analysis study explored the experiences of 12 physiotherapy scholars from three levels of study (bachelor’s, master’s, and doctorate) through structured and semi-in-depth face-to-face interviews. Data analysis was conducted concurrently with data collection using Granheim and Ludman’s content analysis method. 

The identified potential solutions include continuous review of the curriculum, strengthening clinical education, elevation of the basic level of physiotherapy education to a professional doctorate or master’s degree, post-graduation competency assessment, revision of educational priorities, establishing a strong presence in hospital and community departments, preventing the influence and interference of other disciplines, raising public awareness of the capabilities and potential of the profession, and paying greater attention to professional ethics.

In the absence of entry-level general doctor of physiotherapy and direct access to patients, the quality of physiotherapy services will not improve, leading to suboptimal health outcomes for clients and consequent waste of time and financial resources for both patients and insurance providers.

The most common cause of heel pain is plantar fasciitis (PF). Although conservative treatments relieve pain in more than 90% of patients, it may remain painful in some cases. This study aimed to compare High-intensity Laser Therapy (HILT) with Extracorporeal Shock Wave Therapy (ESWT) in patients with PF.

In this double-blinded randomized clinical trial (conducted in Yazd, Iran, from May 2020 to March 2021), patients were classified into two groups, including the ESWT and HILT, using online randomization. Nine sessions, three times a week for 3 weeks, were the treatment period in both groups. Visual Analogue Score (VAS), Heel Tenderness Index (HTI), and the SF36 questionnaire were compared and analyzed statistically at the beginning and 9 months after treatment. 

38 patients (19 in each group) completed the study. Results showed that pain and patient satisfaction improved significantly 3 months after treatment. The VAS and HTI decreased 3 months after treatment in both groups, which was statistically significant (P<0.001). The SF36 score in both groups increased 3 months after treatment, and this increase was statistically significant (P<0.001). Although the two modalities were effective based on VAS, HTI, and SF36, a significant statistical difference was observed between them (P=0.03, P=0.006, P=0.002, respectively), and the HILT was more effective.

ESWT and HILT decrease pain and increase patient satisfaction in PF. Besides, both methods are non-invasive and safe. However, there is a significant difference between them, and HILT is more effective.Trial registration number: IRCT20210913052465N1.

This study aimed to assess the level of breastfeeding (BF) knowledge and the prevalence of musculoskeletal disorders associated with BF among mothers.

The participants were given a questionnaire containing 20 questions regarding their knowledge of BF practices and the prevalence of musculoskeletal disorders. The responses were reported as mean, standard deviation (SD), number (n), frequencies (f), and percentages (%).

The study included 941 participants aged 18 to 49, with a median age of 31-35. Nearly half (47.9%; n = 451) of participants had no knowledge of the health advantages of BF. Furthermore, 82.6% (n = 777) of participants did not receive educational courses or information about childbirth during pregnancy or postnatal. Moreover, 42.7% (n = 402) reported BF-related musculoskeletal pain. The results showed that the least common information provided by doctors or other healthcare providers to mothers was that BF could reduce the risk of some types of cancer (13.6%; n = 128) and asthma and shortness of breath in children (14.1%; n = 133). The most common information was that breastfed children are at a lower risk of getting sick than formula-fed children (41.7%; n = 392).

The study showed a lack of knowledge regarding the benefits of BF and a high prevalence of musculoskeletal disorders among BF mothers in Saudi Arabia. We strongly recommend increasing the number of educational courses that provide knowledge and skills related to BF practices and appropriate positioning during BF.

 Following the coronavirus disease 2019 (COVID-19) outbreak, there were considerable changes in healthcare delivery worldwide. A shift to remote healthcare delivery modalities was necessary due to the lockdown and related social distance requirements. However, the current and future use of telehealth will rapidly increase.

 This study aimed to evaluate the use, attitude and willingness, experience and confidence, and barriers to delivering healthcare via telehealth services among physical therapists (PTs) in Saudi Arabia.

 A cross-sectional questionnaire was distributed to PTs. The questionnaire included items on demographic data, telehealth uses, experience and confidence, and attitudes and expectations. Descriptive statistics were used for the participants’ demographic data and responses.

 A total of 372 participants with an average age of 29 ± 5.5 years were enrolled in the study. Only 143 participants (38.4%) provided telehealth services, and the majority (n = 121; 84.6%) used telehealth during the COVID-19 pandemic. Overall, the majority of the PTs had not received training in telehealth (n = 231; 62.1%). The most commonly rated platform used in telehealth for consultation was Zoom (38.1%). The participants (n = 224; 60.2%) believe that telehealth is an important and useful tool in physical therapy practice. Furthermore, the PTs showed a desire to learn more about telehealth practices (n = 266; 71.5%). They confirmed that they would like to use telehealth in the future (n = 211; 56.7%).

 The PTs showed a good experience with and use of telehealth. However, there is a need for training courses in this regard. These positive findings make telehealth practice feasible and acceptable in healthcare services in physical therapy interventions.

Carpal tunnel syndrome (CTS) is the most typical peripheral entrapment neuropathy. To date, various non-invasive methods have been used tomanageCTS. This study investigates the effectiveness of Transfer Energy Capacitive and Resistive (TECAR), a new physical agent modality, on symptoms and neurophysiological parameters in patients with CTS.

In this single-blind randomized clinical trial, 29 patients with mild or moderate CTS were randomly assigned to two groups. Group 1 received TECAR therapy with a frequency of 500 Hz and an intensity of 30 to 50%, 2 sessions/week, in addition to wrist splints and vitamin B supplements for 4 weeks. Group 2 also received a wrist splint and vitamin B for 4 weeks without TECAR therapy. The Visual Analog Scale (VAS), Boston Carpal Tunnel Questionnaire (BCTQ-SSS and FSS), as well as clinical and neurophysiological findings, were assessed before and 8 weeks after treatment. Within and between-group comparisons were made after the intervention period.

VAS and the Boston Carpal Tunnel Questionnaire (FSS and SSS) showed significant changes. Clinical CTS tests and electrophysiological parameters did not show significant differences before and after the study. From a clinical perspective (pain relief and functional improvement), the TECAR therapy group showed more definite changes.

TECAR can be considered an effective non-invasive treatment for patients with mild to moderate CTS.

Physical therapists provide important services for improving health and function for the general population; however, physical therapy (PT) is infrequently accessed by persons with a primary diagnosis of severe mental illness (SMI). This study examined the attitudes of PT students before and during their participation in a service‑learning (SL) program for people with SMI.

A cross‑sectional institutional review board approved qualitative study collected 1‑h semi‑structured qualitative interviews from seven graduates of a doctor of PT program. Participants were from a New Jersey University program in the USA who participated in an SMI SL experience. Participants were asked about participant attitudes toward people with SMI and their observations during a SL experience using an interview guide. All interviews were digitally recorded, transcribed, and coded using interpretive phenomenological analysis by a team of researchers. This type of qualitative analysis aims to explore participants understanding of their experience without pre‑conceived theoretical direction. Recordings, transcripts, and field notes were reviewed for recurring ideas that were summarized into codes. Through independent coding, reflexivity memos, and consensus meetings, data were further analyzed to identify themes. Investigator triangulation addressed differences and aided consensus development.

Before the SL experience, the students reported negative perceptions about people with SMI and feelings of uncertainty and unpreparedness to work with this population. According to student reports, SL supported their personal and professional development and allowed them to see that PT services are beneficial for people with SMI.

The results of this study indicate that PT students have negative attitudes of people with SMI and feel unprepared to work with this population. The results also support SL as an effective strategy for helping students in their preparation for working with people with SMI.