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Biomedical subjects

Sally Green

Publications and source records attributed to Sally Green.

21 records · Page 2Linked to original sources

The concept of maintenance physiotherapy.

This paper explores the concept of maintenance physiotherapy. Firstly, a consensus definition of maintenance physiotherapy is proposed following consultation with 11 senior physiotherapists throughout Australasia. This consensus definition is compared retrospectively with a definition of maintenance physiotherapy given in response to interview of 91 physiotherapists treating non-catastrophically injured motor vehicle patients more than five years post-accident (treating physiotherapists). Comparison was made by distilling the experts' definition into nine check points and scoring definitions given by the treating physiotherapists against these nine points. The results demonstrated a concurrence between the two groups of between zero and seven with a median of four. This paper supports maintenance physiotherapy as an accepted treatment form. To adhere more closely to the consensus definition of maintenance physiotherapy, treating physiotherapists should consider referral to non-physiotherapy alternatives, to ensure all possible treatment options are exhausted before the rehabilitation phase is complete. In addition, current objective outcome measures to justify and measure continued treatment should be used regularly. Patient education, consistent clinical diagnosis and categorisation of long-term patient groups should be more fully incorporated into the practice of maintenance physiotherapy. The paper aims to provide a reference from which the concept of maintenance physiotherapy can evolve.

Journal Article↗

Physical therapy for patellofemoral pain: a randomized, double-blinded, placebo-controlled trial.

BACKGROUND: Although physical therapy forms the mainstay of nonoperative management for patellofemoral pain, its efficacy has not been established. HYPOTHESIS: Significantly more pain relief will be achieved from a 6-week regimen of physical therapy than from placebo treatment. STUDY DESIGN: Multicenter, randomized, double-blinded, placebo-controlled trial. METHODS: Seventy-one subjects, 40 years of age or younger with patellofemoral pain of 1 month or longer, were randomly allocated to a physical therapy or placebo group. A standardized treatment program consisted of six treatment sessions, once weekly. Physical therapy included quadriceps muscle retraining, patellofemoral joint mobilization, and patellar taping, and daily home exercises. The placebo treatment consisted of sham ultrasound, light application of a nontherapeutic gel, and placebo taping. RESULTS: Sixty-seven participants completed the trial. The physical therapy group (N = 33) demonstrated significantly greater reduction in the scores for average pain, worst pain, and disability than did the placebo group (N = 34). CONCLUSIONS: A six-treatment, 6-week physical therapy regimen is efficacious for alleviation of patellofemoral pain.

Adult↗