Our Research category is the original feature of Physiospot and includes summaries of clinically relevant research that has recently been published by a peer reviewed journal.

Lower limb reaction time discriminates between multiple and single fallers.

Despite research supporting its validity in predicting falls, simple reaction time (SRT) is not typically included in a clinical falls assessment battery because there is no standardised, clinically feasible testing protocol with published cut off scores. This study aimed to determine whether SRT scores obtained using a clinically viable protocol could discriminate between multiple and single fallers. SRT scores were obtained from 147 participants (88 women and 59 men) over… Continue reading

The effectiveness of interventions in the management of patients with primary frozen shoulder.

There are many types of treatment used to manage the frozen shoulder, but there is no consensus on how best to manage patients with this painful and debilitating condition. This review of the evidence of the effectiveness looked at interventions used to manage primary frozen shoulder using the Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, the Physiotherapy Evidence Database… Continue reading

Study to Identify Rural Triggers of Asthma Attacks

Asthma has been looked upon as primarily an urban problem probably exacerbated by air pollution from cars and heavy industry. According to CDC research, it turns out that asthma is just as common in rural areas. To identify triggers that cause asthma attacks, a research study is currently underway that uses GPS enabled inhalers to record when and where medicine was needed… Continue reading

Six-minute walk distance in patients with severe end-stage COPD: association with survival after inpatient pulmonary rehabilitation.

The purpose of this study was to evaluate the relationship between the 6-minute walk distance (6MWD) and survival in a cohort of patients with severe end-stage chronic obstructive pulmonary disease (COPD) who received inpatient pulmonary rehabilitation (IPR) from 1995 to 2007. We retrospectively analyzed 815 patients with severe end-stage COPD who received IPR. 6MWDs before and after IPR (pre-6MWD, post-6MWD) were compared to assess whether 6MWD was significantly changed after… Continue reading

Balance, attention, and dual-task performance during walking after brain injury: associations with falls history.

The objective of this study was to examine the relationship between balance, attention, and dual-task performance in individuals with acquired brain injury. Twenty-four individuals aged 18 to 58 years (mean = 39 years) with acquired brain injury who were able to ambulate 40 ft with (29%) or without an assistive device were included. Fifty-eight percent were independent community ambulators. Fifty-four percent had fallen in the past 6 months; and 42%… Continue reading

Endurance training and cardiorespiratory conditioning after traumatic brain injury.

The objective of this study was to examine the importance of cardiorespiratory conditioning after traumatic brain injury (TBI) and provide recommendations for patients recovering from TBI. It was a review of the literature assessing the effectiveness of endurance training programs. A sedentary lifestyle and lack of endurance are common characteristics of individuals with TBI who have a reduction in peak aerobic capacity of 25% to 30% compared with healthy sedentary… Continue reading

Trunk muscle activity during lumbar stabilization exercises on both a stable and unstable surface.

The objectives of this study were to clarify whether differences in surface stability influence trunk muscle activity. Lumbar stabilization exercises on unstable surfaces are performed widely. One perceived advantage in performing stabilization exercises on unstable surfaces is the potential for increased muscular demand. However, there is little evidence in the literature to help establish whether this assumption is correct. METHODS: Nine healthy male subjects performed lumbar stabilization exercises. Pairs of… Continue reading

Effects of aerobic training on psychosocial morbidity and symptoms in patients with asthma: a randomized clinical trial.

Asthma symptoms reduce patients' daily activities, impair their health-related quality of life (HRQoL), and increase their reports of anxiety and depression, all of which seem to be related to a decrease in asthma control. Aerobic exercise training is known to improve aerobic fitness and reduce dyspnea in asthmatics; however, its effect in reducing psychologic distress and symptoms remains poorly understood. We evaluated the role of an aerobic training program in… Continue reading

The effects of a home-based exercise program on physical function in frail older adults.

Exercise has been shown to improve physical function in frail older adults; however, the effects of exercise may vary with degree of frailty, the format and intensity of the exercise intervention, and level of supervision. This cohort study describes the effects of participation in a 6-week home-based exercise program on measures of physical function as well as exercise-related beliefs, including exercise self-efficacy and outcomes expectation, in frail older adults. Participants… Continue reading

The effects of a home-based exercise program on balance confidence, balance performance, and gait in debilitated, ambulatory community-dwelling older adults: a pilot study.

The purpose of this pilot study was to evaluate the effects of a home-based standing exercise and balance training program on balance confidence, balance performance, and gait in debilitated, ambulatory community-dwelling older adults. A quasi-experimental single group pre- to posttest design was utilized in 14 subjects, 9 male and 5 female, aged 71 to 85 years receiving home care. Measurements included the Falls Efficacy Scale (FES), Performance Oriented Mobility Assessment… Continue reading

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