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Displaying Results 1 - 25 of 122 on page 1 of 5
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'Pragmatic randomized controlled trial of individually prescribed exercise versus usual care in a heterogeneous cancer survivor population': a feasibility study PEACH trial: prescribed exercise after chemotherapy.
(2010)
Guinan, Emer; Broderick, Julie; Hussey, Juliette
'Pragmatic randomized controlled trial of individually prescribed exercise versus usual care in a heterogeneous cancer survivor population': a feasibility study PEACH trial: prescribed exercise after chemotherapy.
(2010)
Guinan, Emer; Broderick, Julie; Hussey, Juliette
Abstract:
BACKGROUND: Many cancer survivors suffer a range of physical and psychological symptoms which may persist for months or years after cessation of treatment. Despite the known benefits of exercise and its potential to address many of the adverse effects of treatment, the role of exercise as well as optimum duration, frequency, and intensity in this population has yet to be fully elucidated. Many cancer rehabilitation programmes presented in the literature are very long and have tight eligibility criteria which make them non-applicable to the majority of cancer survivors. This paper presents the protocol of a novel 8-week intervention which aims to increase fitness, and address other physical symptoms in a heterogeneous cancer survivor population. METHODS/DESIGN: The aim is to recruit 64 cancer survivors 2-6 months after completion of chemotherapy, usually adjuvant, with curative intent. Subjects will be recruited through oncology clinics in a single institution and randomised to usual...
http://hdl.handle.net/2262/39224
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A focus group study of students perceptions of reflection
(2006)
Roche, Adam; Coote, Susan
A focus group study of students perceptions of reflection
(2006)
Roche, Adam; Coote, Susan
Abstract:
Reflective practice is a learning strategy that involves thinking critically about one’s actions and is a recognised cornerstone of continuing professional development or CPD.1 With the present climate of accountability, physiotherapists have also embraced the call for evidence-based practice (EBP) and clinical effectiveness to underpin their practice. An essential component of continually developing as a professional and being clinically effective is critical self-appraisal through reflection. The reflective practice module within the undergraduate physiotherapy programme at University of Limerick (UL) is a first within physiotherapy curricula in Ireland.
PUBLISHED
Not peer reviewed
http://hdl.handle.net/10344/4896
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A profile of elderly fallers referred for physiotherapy in the Emergency Department of a Dublin teaching hospital
(2013)
Crehan, F; O’Shea, D; Ryan, JM; Horgan, F
A profile of elderly fallers referred for physiotherapy in the Emergency Department of a Dublin teaching hospital
(2013)
Crehan, F; O’Shea, D; Ryan, JM; Horgan, F
Abstract:
Ireland has an ageing population and the elderly are over-represented in Emergency Departments (ED) - a quarter of these presentations resulting from falls. A prospective study design was employed using a convenience sample to profile elderly fallers referred for physiotherapy in ED. Forty-subjects were assessed over 14 weeks. Mean age was 84.88 years (s.d. 7.3) and 31 (77.5%) were female. All demonstrated slow walking speed and 26 (65%) demonstrated poor grip strength. A quarter of subjects reported fear of falling and 30 (75%) were classified as frail. Elderly fallers in ED are a frail group of socially vulnerable patients who demonstrate a risk of further falls. Osteoporosis had been diagnosed in 9 (22.5%) subjects â a low prevalence compared with international research, but 25 (62.5%) subjects had never had a DEXA scan. The prevalence of frailty in the sample of elderly fallers in this study was very high (75%).
http://hdl.handle.net/10147/294113
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A profile of hospice-at-home physiotherapy for community-dwelling palliative care patients.
(2013)
Cobbe, Sinead; Nugent, Kathy; Real, Shirley; Slattery, Sinead; Lynch, Margaret
A profile of hospice-at-home physiotherapy for community-dwelling palliative care patients.
(2013)
Cobbe, Sinead; Nugent, Kathy; Real, Shirley; Slattery, Sinead; Lynch, Margaret
Abstract:
AIM: To profile a specialised palliative care physiotherapy service to community-dwelling patients. DESIGN: Retrospective audit. SETTING: Milford Care Centre, Limerick, Ireland. PARTICIPANTS: Patients referred to hospice-at-home physiotherapy during September 2010-February 2011. OUTCOME MEASURE: Edmonton Functional Assessment Tool (EFAT-2). RESULTS: 165 patients were referred, of whom 90% had cancer. Nurses referred 120 (73%). Referrals appeared to be increased by the presence of physiotherapists in the nursing bases. No asssessment was conducted for 55 referrals (33%), mainly owing to clinical deterioration. The remaining 110 patients were assessed, with 47 (43%) being contacted within 2 days of referral (mean 4 days, standard deviation 4.2, range 0-21 days). Physical function ranged from 0-18 (median 7, mode 4) on the EFAT-2 scale. The most commonly used treatments were exercises and advice/education. CONCLUSION: Referrals to the at-home physiotherapy service are heavily de...
http://hdl.handle.net/10147/271659
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A profile of Irish physiotherapy services for ankylosing Spondylitis (AS)
(2011)
Larkin, Louise
A profile of Irish physiotherapy services for ankylosing Spondylitis (AS)
(2011)
Larkin, Louise
Abstract:
Background: Physiotherapy and exercise are main components in the non-pharmacological management of AS (Zochling et al 2006). A minority of the Irish AS population participate in regular exercise (Fitzpatrick et al 2006). No study has explored the physiotherapy services provided to AS patients in the Republic of Ireland (ROI). Objectives: Identify physiotherapy services provided to Irish AS patients. Ascertain if strategies are utilised to improve motivation to exercise. Determine the correlation between current practice and the available evidence base for AS management. Methods: Online questionnaire-based survey distributed to the Irish Society of Chartered Physiotherapists Rheumatology clinical interest group (CPR) (n=29), requesting information on assessment, treatment, education, motivation and self-management in AS management. Results: Response rate of 45% (13/29). 75% (9/12) currently treat AS patients. 88% (7/8) are aware of clinical guidelines for AS management. The most com...
http://hdl.handle.net/10344/1506
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A qualitative investigation into how physiotherapists currently review people with Multiple Sclerosis and their opinions of telephone reviews in this population
(2011)
Condon, Marie
A qualitative investigation into how physiotherapists currently review people with Multiple Sclerosis and their opinions of telephone reviews in this population
(2011)
Condon, Marie
Abstract:
Background: Guidelines recommend people with Multiple Sclerosis (PwMS) receive regular physiotherapy reviews (NICE, 2003). However little is known about how PwMS are currently reviewed. Reviews can be face-to-face, telephone or postal. The telephone is increasingly used to improve access to healthcare systems (Car, 2003). Yet no research is available on using telephone reviews with PwMS. Objectives: To explore: (i) how physiotherapists currently review PwMS and (ii) physiotherapists' opinions of telephone reviews in this population. Methods: Three focus groups were conducted with physiotherapists working with PwMS in urban (n=4) and rural (n=2) primary care settings and an acute hospital (n=3). Sessions were audio-recorded, transcribed verbatim and thematic analysis was performed. Results: Physiotherapists conversed that reviewing PwMS is not regularly done due to service constraints and inconsistencies in patient review pathways. Despite this, service provision was enhanced ma...
http://hdl.handle.net/10344/1515
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A qualitative study of the dementia-care experiences and educational needs of physiotherapists in the Republic of Ireland
(2019)
Foley, Tony; Sheehan, Cormac; Jennings, Aisling A.; O'Sullivan, Trish
A qualitative study of the dementia-care experiences and educational needs of physiotherapists in the Republic of Ireland
(2019)
Foley, Tony; Sheehan, Cormac; Jennings, Aisling A.; O'Sullivan, Trish
Abstract:
Objectives: Gait disturbance and impaired balance lead to a greater risk of falls and hip fractures for people with dementia. Physiotherapists play an important role in multidisciplinary dementia care. This study aimed to explore physiotherapists’ experiences of dementia care and sought to identify their dementia-specific educational needs. Design: Qualitative design, using focus group interviews. Setting: Primary care and secondary care physiotherapy services in the Republic of Ireland. Participants: Six focus groups with thirty-two physiotherapists, working in community care and hospital settings. Results: Physiotherapists described a significant dementia-related workload. Challenges to care included absence of a formal diagnosis, clinical uncertainty, scarcity of resources, physical working environment and the assessment of rehabilitation potential. Dementia care was enhanced by the involvement of family members and by collaboration with other allied healthcare professionals. Par...
http://hdl.handle.net/10468/8689
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A randomised controlled trial evaluating family mediated exercise (FAME) therapy following stroke
(2008)
GALVIN, ROSEMARIE; STOKES, EMMA KATHERINE
A randomised controlled trial evaluating family mediated exercise (FAME) therapy following stroke
(2008)
GALVIN, ROSEMARIE; STOKES, EMMA KATHERINE
Abstract:
peer-reviewed
Stroke is a leading cause of disability among adults worldwide. Evidence suggests that increased duration of exercise therapy following stroke has a positive impact on functional outcome following stroke. The main objective of this randomised controlled trial is to evaluate the impact of additional family assisted exercise therapy in people with acute stroke.
http://hdl.handle.net/2262/33188
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A randomised controlled trial evaluating the effect of an individual auditory cueing device on freezing and gait speed in people with Parkinson's disease
(2008)
GALVIN, ROSEMARIE; STOKES, EMMA KATHERINE
A randomised controlled trial evaluating the effect of an individual auditory cueing device on freezing and gait speed in people with Parkinson's disease
(2008)
GALVIN, ROSEMARIE; STOKES, EMMA KATHERINE
Abstract:
peer-reviewed
Parkinson's disease is a progressive neurological disorder resulting from a degeneration of dopamine producing cells in the substantia nigra. Clinical symptoms typically affect gait pattern and motor performance. Evidence suggests that the use of individual auditory cueing devices may be used effectively for the management of gait and freezing in people with Parkinson's disease. The primary aim of the randomised controlled trial is to evaluate the effect of an individual auditory cueing device on freezing and gait speed in people with Parkinson's disease.
http://hdl.handle.net/2262/33187
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A randomised controlled trial of an exercise plus behaviour change intervention in people with multiple sclerosis: the step it up study protocol
(2014)
Coote, Susan; Gallagher, Stephen; Msetfi, Rachel M.; Larkin, Aidan; Newell, John; Motl,...
A randomised controlled trial of an exercise plus behaviour change intervention in people with multiple sclerosis: the step it up study protocol
(2014)
Coote, Susan; Gallagher, Stephen; Msetfi, Rachel M.; Larkin, Aidan; Newell, John; Motl, Robert W.; Hayes, Sara
Abstract:
Background: Exercise has consistently yielded short-term, positive effects on health outcomes in people with multiple sclerosis (MS). However, these effects have not been maintained in the long-term. Behaviour change interventions aim to promote long-term positive lifestyle change. This study, namely, "Step it Up" will compare the effect of an exercise plus Social Cognitive Theory (SCT)-based behaviour change intervention with an exercise plus control education intervention on walking mobility among people with MS.Methods/design: People with a diagnosis of MS who walk independently, score of 0-3 on the Patient Determined Disease Steps, who have not experienced an MS relapse or change in their MS medication in the last 12 weeks and who are physically inactive will be randomised to one of two study conditions. The experimental group will undergo a 10-week exercise plus SCT-based behavioural change intervention. The control group will undergo a 10-week exercise plus education...
http://hdl.handle.net/10344/4416
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A randomised controlled trial of an exercise plus behaviour change intervention in people with multiple sclerosis: the step it up study protocol
(2018)
Coote, Susan; Gallagher, Stephen; Msetfi, Rachel; Larkin, Aidan; Newell, John; Motl, Ro...
A randomised controlled trial of an exercise plus behaviour change intervention in people with multiple sclerosis: the step it up study protocol
(2018)
Coote, Susan; Gallagher, Stephen; Msetfi, Rachel; Larkin, Aidan; Newell, John; Motl, Robert W; Hayes, Sara
Abstract:
Background: Exercise has consistently yielded short-term, positive effects on health outcomes in people with multiple sclerosis (MS). However, these effects have not been maintained in the long-term. Behaviour change interventions aim to promote long-term positive lifestyle change. This study, namely, "Step it Up" will compare the effect of an exercise plus Social Cognitive Theory (SCT)-based behaviour change intervention with an exercise plus control education intervention on walking mobility among people with MS. Methods/design: People with a diagnosis of MS who walk independently, score of 0-3 on the Patient Determined Disease Steps, who have not experienced an MS relapse or change in their MS medication in the last 12 weeks and who are physically inactive will be randomised to one of two study conditions. The experimental group will undergo a 10-week exercise plus SCT-based behavioural change intervention. The control group will undergo a 10-week exerci...
http://hdl.handle.net/10379/10904
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A randomised controlled trial of multimodal physiotherapy versus advice for recent onset, painful cervical radiculopathy - the PACeR trial protocol.
(2019)
Keating, Louise; Treanor, Caroline; Sugrue, Julie; Meldrum, Dara; Bolger, Ciaran; Doody...
A randomised controlled trial of multimodal physiotherapy versus advice for recent onset, painful cervical radiculopathy - the PACeR trial protocol.
(2019)
Keating, Louise; Treanor, Caroline; Sugrue, Julie; Meldrum, Dara; Bolger, Ciaran; Doody, Catherine
Abstract:
<p>The original article is available at <a href="https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-019-2639-4">biomedcentral.con</a></p>
<p><strong>BACKGROUND:</strong> A research gap exists for optimal management of cervical radiculopathy in the first 12 weeks and short term natural history of the condition is somewhat unclear, although thought to be favourable. The primary aim of this assessor blinded, superiority, 2 parallel group randomised controlled trial is to investigate the effects of a 4 week physiotherapy programme (6-8 sessions) of manual therapy, exercise and upper limb neural unloading tape, compared to a control of weekly phone advice; on disability, pain and selected biopsychosocial measures, in acute and sub-acute cervical radiculopathy patients. A secondary aim is to identify whether any baseline variables, symptom duration or group allocation can predict outcome.</p> <p><...
https://epubs.rcsi.ie/sphysioart/32
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A study of the psychological views and strategies used by Irish chartered physiotherapists in rehabilitating injured athletes
(2011)
Hussey, Liz
A study of the psychological views and strategies used by Irish chartered physiotherapists in rehabilitating injured athletes
(2011)
Hussey, Liz
Abstract:
Background: Current research has identified the importance of psychological interventions in sports injury and their use in sports rehabilitation (Beneka et al. 2007). However, within Europe, only a few studies exist that focus on how physiotherapists deal with the psychological aspect of their practice (Arvinen-Barrow et al. 2007). Objectives: To assess the views and strategies of Irish Chartered Physiotherapists with regard to the psychological aspect of rehabilitating injured athletes. Methods: A survey was employed via an online tool called Survey-Monkey to members of the Chartered Physiotherapists in Sports & Exercise Medicine (CPSEM), a clinical interest group of the Irish Society of Chartered Physiotherapists. The measurement tool used was the Physiotherapy & Sport Psychology Questionnaire (PSPQ) which is adapted from the Athletic Trainer & Sport Psychology Questionnaire (ATSPQ) compiled by Larson et al. (2006). Results: A 31% response rate was attained. Results s...
http://hdl.handle.net/10344/1518
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A Study of undergraduate physiotherapy students
(2011)
Murphy, Tricia
A Study of undergraduate physiotherapy students
(2011)
Murphy, Tricia
Abstract:
Abstract Background: Motor skill development refers to the development of physical abilities over time and factors influencing these changes (Ulrich 2007). Children with Developmental Coordination Delay (DCD) display a delay in this process (APA 2000). Objectives: To gain an insight into teachers’ knowledge on motor skill development in children, and whether a teacher can recognise a child with poor motor skill development, including fine and gross motor skills, balance, and coordination. Methods: A qualitative approach was used, where focus groups were conducted in a semi-structured interview style. Following approval from the University of Limerick Research Ethics Committee, three interviews were conducted. Eight eligible primary school teachers took part in the study. Data was audiotaped, transcribed verbatim, analysed extensively until themes and subthemes were identified. Results: Overall, teachers displayed varied knowledge on motor skill development. Teachers demonstrated con...
http://hdl.handle.net/10344/1521
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A study protocol of a randomised controlled trial to measure the effects of an augmented prescribed exercise programme (APEP) for frail older medical patients in the acute setting
(2016)
McCullagh, Ruth; O'Connell, Eimear; O'Meara, Sarah; Perry, Ivan J.; Fitzgeral...
A study protocol of a randomised controlled trial to measure the effects of an augmented prescribed exercise programme (APEP) for frail older medical patients in the acute setting
(2016)
McCullagh, Ruth; O'Connell, Eimear; O'Meara, Sarah; Perry, Ivan J.; Fitzgerald, Anthony P.; O'Connor, Kieran; Horgan, N. Frances; Timmons, Suzanne
Abstract:
Background: Older adults experience functional decline in hospital leading to increased healthcare burden and morbidity. The benefits of augmented exercise in hospital remain uncertain. The aim of this trial is to measure the short and longer-term effects of augmented exercise for older medical in-patients on their physical performance, quality of life and health care utilisation. Design and Methods: Two hundred and twenty older medical patients will be blindly randomly allocated to the intervention or sham groups. Both groups will receive usual care (including routine physiotherapy care) augmented by two daily exercise sessions. The sham group will receive stretching and relaxation exercises while the intervention group will receive tailored strengthening and balance exercises. Differences between groups will be measured at baseline, discharge, and three months. The primary outcome measure will be length of stay. The secondary outcome measures will be healthcare utilisation, activi...
http://hdl.handle.net/10468/3131
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A study protocol of a randomised controlled trial to measure the effects of an augmented prescribed exercise programme (APEP) for frail older medical patients in the acute setting.
(2016)
McCullagh, Ruth; O'Connell, Eimear; O'Meara, Sarah; Perry, Ivan; Fitzgerald, ...
A study protocol of a randomised controlled trial to measure the effects of an augmented prescribed exercise programme (APEP) for frail older medical patients in the acute setting.
(2016)
McCullagh, Ruth; O'Connell, Eimear; O'Meara, Sarah; Perry, Ivan; Fitzgerald, Anthony; O'Connor, Kieran; Horgan, Frances; Timmons, Suzanne
Abstract:
<p>The original article is available at www.biomedcentral.com</p>
<p>BACKGROUND: Older adults experience functional decline in hospital leading to increased healthcare burden and morbidity. The benefits of augmented exercise in hospital remain uncertain. The aim of this trial is to measure the short and longer-term effects of augmented exercise for older medical in-patients on their physical performance, quality of life and health care utilisation.</p> <p>DESIGN & METHODS: Two hundred and twenty older medical patients will be blindly randomly allocated to the intervention or sham groups. Both groups will receive usual care (including routine physiotherapy care) augmented by two daily exercise sessions. The sham group will receive stretching and relaxation exercises while the intervention group will receive tailored strengthening and balance exercises. Differences between groups will be measured at baseline, discharge, and three months. The prima...
https://epubs.rcsi.ie/sphysioart/24
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A survey of current clinical practice in the Physiotherapy management of “Rotator Cuff Tendinopathy” in Ireland
(2011)
Cagney, Gordon
A survey of current clinical practice in the Physiotherapy management of “Rotator Cuff Tendinopathy” in Ireland
(2011)
Cagney, Gordon
Abstract:
Background: Rotator cuff disease is the most common cause of shoulder pain seen by physicians (Ostor et al. 2005) accounting for 44% to 60% of all complaints of shoulder pain (Michener et al. 2004). This type of study examining what physiotherapists do in managing patient with Rotator Cuff Tendinopathy (RCT) has not yet been carried out in Ireland. Objectives: Determine the current management strategies adopted by chartered physiotherapists in Ireland for RCT patients and to establish if evidence based practice is being exercised amongst Chartered Physiotherapists in Ireland in the management of RCT patients. Methods: Self-administered 16-item questionnaire was developed and piloted. It was distributed and collected via (www.surveymonkey.com). The Study population included 2 clinical interest groups of ISCP including Chartered Physiotherapists in Private Practice (CPPP 300+ members) and Chartered Physiotherapists in Musculoskeletal Therapy (CPMT 362 members). Data was analyzed using...
http://hdl.handle.net/10344/1514
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A Survey of the activity of members of the Irish society of chartered physiotherapists at branch Level
(2011)
Hinch, Aideen
A Survey of the activity of members of the Irish society of chartered physiotherapists at branch Level
(2011)
Hinch, Aideen
Abstract:
Background: Eight geographical branches exist within the Irish Society of Chartered Physiotherapists (ISCP) and their role is to serve the purpose of the Society. Engaging at branch level is an informal Continuous Professional Development (CPD) activity. Barriers to CPD include cost (time and financial) and attitude to CPD, while facilitators include enjoyment, satisfaction and importance in professional practice (French and Dowds 2008). No previous research exists on ISCP members’ participation at branch level. Members’ perceptions of the future role of the branch within the new governance structure are required to inform the society. Objectives: To assess ISCP members’ attendance at opinions of ISCP branch activities. Methods: An online questionnaire seeking data on attendance at ISCP branch level and opinions on branch activities was distributed to over 2464 ISCP members. Data was analysed using descriptive statistics. Analysis of qualitative data was performed through theoretica...
http://hdl.handle.net/10344/1505
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A survey of the current physiotherapy management of people with multiple sclerosis
(2011)
O'Donovan, Mary
A survey of the current physiotherapy management of people with multiple sclerosis
(2011)
O'Donovan, Mary
Abstract:
Background: It is estimated that there are over 7,000 people with MS living in Ireland (MS Society 2008). Guidelines and evidence highlight the many benefits to be gained from physiotherapy interventions. However with limited resources (Coote et al 2010) and services for people with MS (PwMS), it is imperative physiotherapy management is effective, appropriate and evidence based. Objectives: To determine what criteria physiotherapists frequently include in subjective and objective assessment for PwMS. To examine the frequency of use of treatments and the use of evidence based practice in treatment choice. Methods: A self-report e-survey was developed and distributed via email to all group members of Physiotherapists with an Interest in MS, Chartered Physiotherapists in Neurology and Gerontology, and Chartered Physiotherapists in Community Care. A survey link was placed in Firsthand and on primary investigators web-page. Data was analysed using descriptive statistics and likert scale...
http://hdl.handle.net/10344/1522
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Acromioclavicular joint dislocation: pathology, diagnosis and management
(2007)
O'Sullivan, Kieran
Acromioclavicular joint dislocation: pathology, diagnosis and management
(2007)
O'Sullivan, Kieran
Abstract:
n/a
Dislocation is the most common injury affecting the acromioclavicu lar (AC) joint. Six grades of AC joint dislocation are currently described, based on the degree and direction, of displacement. Complete rupture of both the AC and coracoclavicular (eq ligaments is considered to be necessary before complete grade 3 disloca tion of the AC jOint can OCcur. Diagnosis is made on the basis of the clinical history and examination, along with imaging results, with respect to the mosl common differential diagnoses. The literature indicates that conservative management is the most appropriate for grade 1 and 2 dislocations. Surgery, on the other hand, continues to be advocated for grades 4, 5 and 6. For grade 3 injuries, studies indicate that outcomes are similar for both conservative and surgical management. On this basis, conservative management is now also recommended as the preferred initial choice in grade 3 injuries. Further research is needed to clarify the type of conserva tiv...
http://hdl.handle.net/10344/2956
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Addressing complex societal challenges in health education - A physiotherapy-led initiative embedding inclusion health in an undergraduate curriculum
(2019)
Broderick, Julie; Ni Cheallaigh, Cliona
Addressing complex societal challenges in health education - A physiotherapy-led initiative embedding inclusion health in an undergraduate curriculum
(2019)
Broderick, Julie; Ni Cheallaigh, Cliona
Abstract:
http://dx.doi.org/10.12688/hrbopenres.12939.2
People who are socially excluded experience vastly poorer health outcomes compared to the general population. Inclusion Health seeks to directly address this health inequity. Despite the increased requirement for health care and the increased prevalence of complex health and social needs in socially excluded people, Inclusion Health features very little in health education curricula.This letter has been written by a group of clinicians, academics, clinical education specialists and students with a common interest in Inclusion Health. In the absence of established guidance on how best to incorporate the broad topic of inclusion health in undergraduate education, we have developed a two-pronged approach within Physiotherapy. We are writing to highlight the following initiatives; firstly, the provision of a dedicated undergraduate clinical placement devoted to the area of Inclusion Health.Secondly, we have also initiated a step-wise pro...
http://hdl.handle.net/2262/92954
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Advanced practice physiotherapy-led triage in Irish orthopaedic and rheumatology services: national data audit
(2018)
Fennelly, Orna; Blake, Catherine; FitzGerald, Oliver; Breen, Roisin; Ashton, Jennifer; ...
Advanced practice physiotherapy-led triage in Irish orthopaedic and rheumatology services: national data audit
(2018)
Fennelly, Orna; Blake, Catherine; FitzGerald, Oliver; Breen, Roisin; Ashton, Jennifer; Brennan, Aisling; Caffrey, Aoife; Desmeules, François; Cunningham, Caitriona
Abstract:
Abstract Background Many people with musculoskeletal (MSK) disorders wait several months or years for Consultant Doctor appointments, despite often not requiring medical or surgical interventions. To allow earlier patient access to orthopaedic and rheumatology services in Ireland, Advanced Practice Physiotherapists (APPs) were introduced at 16 major acute hospitals. This study performed the first national evaluation of APP triage services. Method Throughout 2014, APPs (n = 22) entered clinical data on a national database. Analysis of these data using descriptive statistics determined patient wait times, Consultant Doctor involvement in clinical decisions, and patient clinical outcomes. Chi square tests were used to compare patient clinical outcomes across orthopaedic and rheumatology clinics. A pilot study at one site identified re-referral rates to orthopaedic/rheumatology s...
https://doi.org/10.1186/s12891-018-2106-7
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Advanced practice physiotherapy-led triage in Irish orthopaedic and rheumatology services: national data audit.
(2018)
Fennelly, Orna; Blake, Catherine; FitzGerald, Oliver; Breen, Roisin; Ashton, Jennifer; ...
Advanced practice physiotherapy-led triage in Irish orthopaedic and rheumatology services: national data audit.
(2018)
Fennelly, Orna; Blake, Catherine; FitzGerald, Oliver; Breen, Roisin; Ashton, Jennifer; Brennan, Aisling; Caffrey, Aoife; Desmeules, François; Cunningham, Caitriona
Abstract:
Many people with musculoskeletal (MSK) disorders wait several months or years for Consultant Doctor appointments, despite often not requiring medical or surgical interventions. To allow earlier patient access to orthopaedic and rheumatology services in Ireland, Advanced Practice Physiotherapists (APPs) were introduced at 16 major acute hospitals. This study performed the first national evaluation of APP triage services.
Many people with musculoskeletal (MSK) disorders wait several months or years for Consultant Doctor appointments, despite often not requiring medical or surgical interventions. To allow earlier patient access to orthopaedic and rheumatology services in Ireland, Advanced Practice Physiotherapists (APPs) were introduced at 16 major acute hospitals. This study performed the first national evaluation of APP triage services.
Throughout 2014, APPs (n = 22) entered clinical data on a national database. Analysis of these data using descriptive statistics determined p...
http://hdl.handle.net/10147/623045
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An Exploration Of Falls-Risk After Stroke: A Mixed Methods Approach
(2016)
Walsh, Mary Elizabeth
An Exploration Of Falls-Risk After Stroke: A Mixed Methods Approach
(2016)
Walsh, Mary Elizabeth
Abstract:
<p>This thesis aimed to inform the assessment of post-stroke falls-risk in those discharged to the community. It comprised five inter-linked studies:</p> <p><strong>Prospective cohort study:</strong> A total of 128 recently discharged stroke survivors from five Dublin hospitals were followed for 12 months. During this time 44% of participants fell, 25% repeatedly. Of the fallers, 40% sought healthcare attention after a fall and 10% experienced a fracture.</p> <p><strong>Systematic review of falls prediction models in the year after stroke:</strong> Twelve studies were identified that aimed to predict falls in acute or community settings using multivariable models. None presented a validated model with acceptable performance.</p> <p><strong>External validation study of risk prediction models for post-stroke recurrent community falls:</strong> Two risk prediction models identified from the review were potent...
https://epubs.rcsi.ie/phdtheses/210
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An exploration of the referral patterns of a community palliative care team to specialist palliative care outpatient physiotherapy for community based individuals with advanced cancer
(2019)
CAHILL, FIONA
An exploration of the referral patterns of a community palliative care team to specialist palliative care outpatient physiotherapy for community based individuals with advanced cancer
(2019)
CAHILL, FIONA
Abstract:
Introduction: Physiotherapy is a core discipline within specialist palliative care (SPC) services and has been shown to contribute to the management of common symptoms associated with advanced cancer such as fatigue, breathlessness and decreased mobility. However, referral rates to physiotherapy for community based individuals range from 24 ? 32%. Methods: This is a mixed methods study. A retrospective chart audit was completed using a specifically designed data extraction tool. It examined the profile of those with advanced cancer referred to SPC outpatient physiotherapy and comparing them to those not. Thirty-eight charts of those who referred to SPC physiotherapy and 102 chart of those who were not were selected and analysed using descriptive and comparative statistics. To gain a further insight into referral patterns, focus group interviews were held with members of the community palliative care (CPC) team to explore their understanding of the role of physiotherapy in SPC and wh...
http://hdl.handle.net/2262/86424
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