Critical Review # 1
Ibrahim, Eid & Moawd (2014) conducted a randomized controlled study to determine if there were differences between the outcomes of children receiving a selected physical therapy treatment and whole body vibration(WBV) and children receiving a selected physical therapy alone (control group). The measurements tested were isometric strength of the knee extensors (weak and strong legs), spasticity, walking speed, walking balance, and gross motor function before and after a 12 - week intervention program. The inclusion criteria were children with spastic diplegia from both sexes ages ranging from 8 to 12 years old, who were ambulatory (with or without walking aids), able to follow instructions, with a 1 to 2 degree of spasticity,
…show more content…
For isometric strength of knee extensors, a handheld dynamometer (Nicholas Manual Muscle Tester Model 011160) was used. Children were seated with knees flexed at 90 degrees and resistance was given by researcher 5cm proximal to the lateral malleolus. Resistance was provided gradually allowing the children to recruit maximum amount of muscle fibers. Three attempts were recorded averaging the second and third attempt scores. The modified Ashworth scale was used to measure spasticity for hip adductors, knee extensors, and ankle plantar flexors. For the walking speed evaluation, the investigators used the Six-minute walking test or 6MWT, with ICC = .80 -.85 and r= .86-.90 for this population (Leunkeu, Shephard, & Ahmaidij, 2012). One practice session was provided days before the test date to reduce the effect of learning. The test consists of children walking in a hallway as far as possible for six minutes. Instructions were standardized guidelines from the American Thoracic Society (2002). Walking balance was tested by using the Timed Up and Go test (TUG) with ICC = 0.99 and r = 0.681 in children with CP (Nicolini -Pannison & Donatio, 2013). The time required to complete the task (getting up from arm chair, walking to a line on the floor 3 meters away, turning around and sitting down) was recorded. Gross motor function was evaluated by using the GMFM – 88 (Test- re test and inter-rater reliability = 0.99). …show more content…
Study limitations included small sample size, lack of information regarding assent from participating children, insufficient validity of the Ashworth Scale to measure spasticity (Pandya, Price, Barnes & Johnson, 2003), convenience sample: all children from the same source, lack of definition of regular organized physical activities mentioned in the inclusion criteria , no isolation of the WBV intervention in the experimental group ((they also received a PT program), and potential confounding variable of ambulation differences (with and without devices) non-specified in each group
The gym help people with cerebral palsy since the muscles of those are greatly affected by their condition, exercise can help improve flex ability, muscl...
Imagine going up for the perfect lay-up, you make the shot but when you land you twist awkwardly and land on your knee. Laying on the ground, you feel the pain surging through your knee, the first line of defense is an athletic trainer, however if this accident happened when you fell on a wet kitchen floor you could expect much the same care from a physical therapist Athletic Trainers are the first to respond to sport related in game injuries, and provide care after injuries. In contrast physical therapist are not only there to fix accidental injuries, and treat chronic bone and joint they help with plans of care and rehabilitation for athletes and non-athletes after injuries. Physical Therapy play a important role in todays healthcare. Physical Therapy are experts of improving and storing motion , they contribute to their patients ‘ quality of life by keeping them healthy , fit , active and in medications . The first school of Modern Physical Therapy opened in Boston, MA , So Physical Therapy have been around for a long time. The Physical Therapy Association Organized by Mary McMillan. It later became the American Physical Therapy Association.World War ll brings changes to Physical Therapy was done at hospitals as patients recovered from injuries , surgeries or other ailments.
Not all people born with spina bifida have the same needs, so treatment will be different for each person. Some people have problems that are more serious than others. Therapeutic recreation services can be used to strengthen the upper body, help increase postural alignment, and prevent obesity. Excersizes like chair aerobics, strength training, swimming, and archery can help develop shoulder and arm strength. Aerobic activities such as swimming to control body weight and activities that require full range of motion (such as tossing a ball) can also be used to help people. Some may need to maintain upper body strength when a wheelchair is the primary method of getting around. Through play, sports and recreation experiences, TRSs encourages friendship development and social relationships. TRSs can assist young people to adapt to their means of mobility and the strength they need to maintain the ability to move on a daily basis. (Carter p. 204
During testing, most patients are found to need correction in all 14 balance tests, depending on the ailment the patient complains of and how well they react to the muscle correction will tell whether or not further treatment is needed. The physical aspect of the therapy, despite the name and basic principles, is not the only aspect required for optimal results. One must also report lifestyle and diet changes ranging from daily stress levels to pat...
Now that you have a better understanding about Athletic training, I will explain about physical therapy and why I would like have as a lifetime career. In an article I read, the author Sue Klappa said that, “PT’s reach into our communities through engagement and social responsibility. It compels us to bring hope and love to others. It urges us to learn to see things differently. It holds the promise of defining moments, as we take the time to see things in a new light” (Klappa 2). Klappa is a physical therapist that traveled the world to help others and when she went to different countries. She learned how important physical therapist are in the medical field and how she can get others attention. Starting a career path in physical therapy can
The effects of multiple disabilities are often both multiplicative and interactive. Cerebral Palsy is a disability that originates from damage to the central nervous system, but which is often accompanied by sensory, communication, orthopedic, learning and cognitive abilities. The complex nature of cerebral palsy is related to differences in causation and the nature and degree of motor involvement. In this paper, Cerebral Palsy will be defined and described, followed by discussion of conditions that frequently occur with this disability. A description of the impact of cerebral palsy on physical and communication development will also be discussed.
People have created a hectic and busy world, that includes careers and daily activities that require physical activity. While attempting to attain the required physical conditioning, people often take chances with their personal health as they try to stretch their physical limits. Sometimes, people can surpass their current limits and form new boundaries; however, other times people are not so fortunate. These unfortunate times often lead to injury, including workplace accidents, sporting incidents, disease afflictions, as well as others; any or all of which could bring about the need of rehabilitation services. Many of these require physical therapy, which includes assisting injured or otherwise impaired patients as they recover to their pre-injury status or to recover as much as is physically possible. The field of physical therapy is a choice career for those who enjoy helping people recover from injury, and the following text will provide reason for choosing this profession.
It takes a unique individual to want to become a Physical Therapist. These professionals have a lot of personal traits that are a must need to excel in the Physical Therapy field. A Physical therapist could be faced with a patient/client that might be angry, sad, or confused, so being able to relate to these individuals is a great quality all therapist must have. These personal traits are skills like being relaxed and determined, supportive, and of course knowledgeable.
Occupational therapy was a career choice I fell into. When I first arrived to Keiser University back in 2009 I was going to apply for the physical therapy assistant program. Physical and speech therapy where the only therapeutic disciplines I had any knowledge of at that time. When I met with the admissions counselor she informed me the waiting list for the PTA program was about two years, I was floored I wasn’t going to wait that long I needed to start school ASAP. The counselor then asked me “ what is your goal?” and my response was “to work with children in the medical field without being too medically involved”. She then handed me an occupational therapy pamphlet and I just signed the paper work to start that month. I honestly
My journey to pursue an education in physical therapy actually originates from my early childhood. I endured a very impoverished upbringing and my family’s socioeconomic status was below the poverty line. At a very young age, money became the central issue of my life. I found myself worrying about mortgages, health bills, and grocery money. As I grew older, I vowed to myself that I would not endure my family’s financial burdens into my adulthood. I knew the best way to accomplish this was by obtaining a college degree and having a professional career. However, I was unsure what career I wanted to pursue. I experimented with many different career ideas, but during my sophomore, I discovered my passion and skill for physical medicine. For my
Through the performance of physical activity in children there is a continued positive effect on the motor development and further refinement of actions. During this developmental stage, it ...
All athletes get injured right? So who exactly allows them to run the fields again? There is a specific person meant for just that, a Physical Therapist. A career that would be fit for someone who enjoys being active and being involved in sports. As a way to help people, Physical Therapy is a very important career to any individual who is looking to get better, Physically. They attend any person,it doesn’t matter what age or gender. Over all this career is most important to athletes, who may get injured and need someone to help them get back in shape. As you continue to read, you will learn about the conditions and requirements needed to be a Physical Therapist. You will read about how not everyone is fit
L., W. R. (1997, Sept 26). Youth Fitness. Retrieved Jan 10, 2011, from CQ Researcher7 841-864: http://library.cqpress.com/cqresearcher/
The purpose of this paper is to explain the role of Physical Therapist in a School in providing indirect services (services which are not directed to children in the school) to teachers, parents, school educational staff, physicians, or any other service providers.1 The school based PT’s consults and educates them to help improve child’s physical environment, implement program planning, procure assistive devices, develop modification and accommodations for access and successful participation. 1 They even help integrate interventions and recommendations into child’s environment. 1 The PT’s also collaborate with other team members to facilitate wellness issues and disability awareness for the entire school population. 1
Cerebral palsy is a neuromotor disorder that occurs due to “brain damage before, during, or shortly after birth” (Brooks, 2007, p. 373). This damage does not usually increase in severity over time, but it is possible for functional movement to decrease. Abnormal muscle tone, reflexes, or motor development and coordination (CP World) often characterize cerebral palsy. The most commonly thought of symptoms are spasms or other involuntary movements, or a lack of muscle mass. In addition, there is a great variety in severity within the cerebral palsy population. One person may have only mild symptoms and function almost completely normally, while others may have severe symptoms making it impossible to perform coordinated movements under their will. In fact, those with mild cerebral palsy might have no trouble communicating at all, whereas those with severe cerebral palsy may have no communication at all.