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thank you for your responses. yes i did mean traumatic brain injury. i am looking more for published or documented standards relating to duration of treatment, expected progress based on x amount of time since injury, perhaps considering setbacks (onset of seizures, etc). i do realize recovery is very individual. thanks again, Laura Date: Sat, 27 Feb 2010 18:19:54 -0800 From: [log in to unmask] Subject: Re: standards for TBI treatment To: [log in to unmask] In some parts of Asia, Tuberculose Bacteria Infection disease is still common. if Traumatic Brain Injury, just do some assessment on what disabilities on the extremities, the gait, etc if the patient is still in the Intensive Care Unit, we have to maintain the ROM of all joints, maintain the respiratory system. if Tuberculose, check the bacteria first, is it still in active??? if yes, just give the proper medication, then maintain the respiratory system, etc From: lauren hayward <[log in to unmask]> To: [log in to unmask] Sent: Sat, February 27, 2010 6:29:57 PM Subject: Re: standards for TBI treatment Hope that was a funny. Probably traumatic brain injury. Date: Fri, 26 Feb 2010 20:32:02 -0800 From: [log in to unmask] Subject: Re: standards for TBI treatment To: [log in to unmask] Dear Laura, Do you mean TBI = Tuberculosis Bacteria Infection???? Luci From: Laura White <[log in to unmask]> To: [log in to unmask] Sent: Fri, February 26, 2010 12:28:09 PM Subject: standards for TBI treatment Can anyone recommend a good resource for standards of treatment for pts with TBI? thank you, Laura Date: Wed, 24 Feb 2010 14:40:48 -0500 From: [log in to unmask] Subject: Now available at Physiotherapy Canada Online To: [log in to unmask] Now available at Physiotherapy Canada Online Physiotherapy Canada Volume 62, Number 1 /2010 is now available at http://utpjournals.metapress.com/content/v1126117l325/. This issue contains: Pain: Putting the Whole Person at the Centre Judith P. Hunter, Maureen J. Simmonds http://utpjournals.metapress.com/content/1286407165ql632h/?p=14665a96eb704ba19fb1c0c771148314π=0 La douleur : l'intégralité de la personne au cœur de nos interventions Judith P. Hunter, Maureen J. Simmonds http://utpjournals.metapress.com/content/1967120t87445480/?p=14665a96eb704ba19fb1c0c771148314π=1 Can We Identify People at Risk of Non-recovery after Acute Occupational Low Back Pain? Results of a Review and Higher-Order Analysis Adrienne Agnello, Tim Brown, Sam Desroches, et al. Abstract: Purpose: To identify prognostic factors in the literature that may predict a poor recovery from acute occupational low back pain (LBP). Methods: Four international databases (Medline, CINAHL, EMBASE, and PsycINFO) were reviewed, searching all articles indexed up to November 2007 with the term low back pain combined with the terms prognostic, prospective, or cohort. Following application of inclusion criteria, 10 articles were found to be appropriate for data extraction. Each article was critically appraised by two independent reviewers. Statistical pooling was performed on any factor evaluated in at least three independent cohorts. Results: Seven cohorts were identified, with a total sample size of 2,484 subjects. Only three factors were followed in at least three cohorts and were therefore suitable for statistical pooling: female gender (OR=1.28, 95% CI: 1.03–1.58); pain radiation (OR=1.37, 95% CI: 0.79–2.39); and previous history of back pain (OR=0.91, 95% CI: 0.52–1.60). There was significant heterogeneity within the female gender factor; compensation of subjects for study participation appeared to moderate its effect. Conclusion: After statistical pooling, only female gender achieved statistical significance as a prognostic factor for prolonged recovery. Further research is necessary to determine prognostic factors for non-recovery in acute LBP. http://utpjournals.metapress.com/content/11205w45322765r2/?p=14665a96eb704ba19fb1c0c771148314π=2 Diagnostic Accuracy and Association to Disability of Clinical Test Findings Associated with Patellofemoral Pain Syndrome Chad Cook, Eric Hegedus, Richard Hawkins, et al. Abstract: Purpose: To investigate the diagnostic accuracy and association to disability of selected functional findings or physical examination tests for patellofemoral pain syndrome (PFPS) in patients with anterior knee pain. Methods: A sample of 76 consecutive patients with anterior knee pain was further subdivided into PFPS and other diagnoses. Routine physical examination tests were examined in a prospective, consecutive-subjects design for a cohort of patients with anterior knee pain. Diagnostic accuracy findings, including sensitivity, specificity, positive (PPV) and negative (NPV) predictive value, and positive (LR+) and negative (LR−) likelihood ratios, were calculated for each test. PPV and NPV reflect the percentage of time of positive or a negative test (respectively) accurately captures the diagnosis of the condition. LR+ and LR− reflect alterations in post-test probability when the test is positive or negative (respectively). Lastly, associations to disability (International Knee Documentation Committee (IKDC) subjective form) were calculated for each clinical finding. Results: Diagnostic accuracy analyses of individual functional assessment and situational phenomena suggest that the strongest diagnostic test is pain encountered during resisted muscle contraction of the knee (PPV=82%; LR+=2.2; 95% CI: 0.99–5.2). Clusters of test findings were substantially more diagnostic, with any two of three positive findings of muscle contraction, pain during squatting, and pain during palpation yielding the following values: PPV=89%; LR+=4.0 (95% CI: 1.8–10.3). No individual or clustered test findings were significantly associated with the IKDC score. Conclusion: Combinations of functional assessment tests and situational phenomena are diagnostic for PFPS and may serve to rule in and rule out the presence of PFPS. Single findings are not related to disability scores (IKDC). http://utpjournals.metapress.com/content/17930n55j4265471/?p=14665a96eb704ba19fb1c0c771148314π=3 Effects of Physical Activity on Cancer Survival: A Systematic Review Mary Barbaric, Eleanor Brooks, Lisa Moore, et al. Abstract: Purpose: Physical activity (PA) has been suggested to help increase the survival of individuals with cancer. The objective of this review was to systematically evaluate and summarize the available evidence investigating the effect of PA on the survival of individuals with cancer. Methods: Electronic databases (CINAHL, EMBASE, and MEDLINE) were systematically searched for randomized controlled trials and cohort studies. Selected studies were assessed by two independent investigators for methodological quality, using the PEDro scale. Results: Ten prospective cohort studies met the inclusion criteria. Quality-assessment scores averaged 5/10 on the PEDro scale, with two articles obtaining a score of 6/10. The majority of studies found that individuals participating in higher levels of physical activity had a reduced risk of cancer-related mortality. This trend was observed specifically for breast, colon, and colorectal cancers. On average, it appears that engaging in higher levels of metabolic equivalent hours per week may help to improve survival rates among individuals diagnosed with cancer. Conclusion: Patients diagnosed with cancer demonstrated a trend toward increased survival with greater levels of PA. However, because only prospective cohort studies were included in the study, the conclusions drawn should be regarded with caution. http://utpjournals.metapress.com/content/11j50jt531tp207x/?p=14665a96eb704ba19fb1c0c771148314π=4 Changes in Activities of Wives Caring for Their Husbands Following Stroke Vi Cao, Cynthia Chung, Ana Ferreira, et al. Abstract: Purpose: The purpose of this study was to explore the perspectives of caregivers of persons with stroke with respect to their own physical activity. Methods: A qualitative, descriptive approach was used to study 10 caregivers of persons with stroke, recruited from a stroke exercise class in a large urban rehabilitation facility. Caregivers participated in individual, semi-structured interviews that were audiotaped, transcribed verbatim, and analysed using a constant comparative method. An inductive, iterative approach was applied to determine the codes and themes. Results: Four main themes were identified: change in role, change in activity, barriers to activity and health, and change in meaning of activity. Barriers to activity included guilt, time, and energy. Participants revealed that activity became more therapeutic after stroke and that participants preferred purposeful, functional, and partnered activities. Conclusions: These findings emphasize the importance of the husband–wife dyad and of movement toward a family-centred care approach. Education should be provided to caregivers regarding their role, barriers, and health-promoting activities. Future research should focus on determining appropriate physical-activity programmes for caregivers as well as on evaluating implementation of partnered exercise programmes for caregivers and persons with stroke. http://utpjournals.metapress.com/content/1t73385g74876883/?p=14665a96eb704ba19fb1c0c771148314π=5 Clinician's Commentary Ada Tang http://utpjournals.metapress.com/content/1280r62x076r7ltk/?p=14665a96eb704ba19fb1c0c771148314π=6 Inter-professional Collaboration: Passing Fad or Way of the Future? Patty Solomon http://utpjournals.metapress.com/content/1k488426617g6331/?p=14665a96eb704ba19fb1c0c771148314π=7 La collaboration interprofessionnelle : mode passagère ou voie de l'avenir? Patty Solomon http://utpjournals.metapress.com/content/k53v8717u6576004/?p=14665a96eb704ba19fb1c0c771148314π=8 A Pilot Study of the Incidence of Post-thoracotomy Pulmonary Complications and the Effectiveness of Pre-thoracotomy Physiotherapy Patient Education Julie C. Reid, Anne Jamieson, Jennifer Bond, et al. Abstract: Purpose: To estimate the incidence and examine the pattern of post-thoracotomy pulmonary complications (PPC) that are amenable to physiotherapy treatment and to estimate the effect size of a pre-thoracotomy physiotherapy education session compared to no preoperative physiotherapy for reducing PPC. Methods: Forty-two patients undergoing thoracotomy participated in this two-group retrospective-prospective cohort study. The preop group (n=22) received physiotherapy education prior to surgery and the no preop group (n=20) did not receive preoperative physiotherapy education. Chest radiographs were examined for PPC for 5 days postoperatively. Incidences of PPC were determined. The effect size was based on a grand count of PPC. Results: The 5-day incidence of atelectasis, collapse, consolidation, and other complications was 85.0%, 39.0%, 31.7%, and 38.1%, respectively. Patterns of PPC showed large increases at days 2 and 3. The effect size for pre-thoracotomy physiotherapy education was zero. Conclusions: In our sample, incidence of PPC was high and did not substantially differ based on whether or not preoperative education was provided. http://utpjournals.metapress.com/content/47k226r880w73466/?p=14665a96eb704ba19fb1c0c771148314π=9 Intradisciplinary Clinical Education for Physiotherapists and Physiotherapist Assistants: A Pilot Study Wilma Jelley, Nathalie Larocque, Sarah Patterson Abstract: Purpose: This study investigated the perceived impact of a paired 5-week clinical placement on physiotherapy (PT) and physiotherapist assistant (PTA) students' skills. Students were supervised by a PT clinical instructor (CI), and a collaborative peer-coaching model was used. Method: Three pairs of PT and PTA students participated in concurrent paired placements incorporating the concepts of reciprocal peer coaching and the 2:1 model of supervision. Qualitative data were gathered using pre- and post-placement interviews and the participants' journals. Results: The participants reported that using this clinical education model increased their self-directed learning. This outcome was anticipated by the researchers with the incorporation of the 2:1 model of supervision. The post-placement interviews also indicated that there was informal teaching among students, as expected from the integration of reciprocal peer coaching. Participants reported an improvement in the students' competencies in communication, consultation, and assignment of tasks within the physiotherapy team. The students further reported an increase in their confidence with regard to their respective roles and an improvement in their ability to work effectively within the physiotherapy team. Conclusion: As indicated by the comments and reviews of the participants, pairing PT and PTA students on clinical placements and incorporating a collaborative peer-coaching model can result in improvements in the students' skills in communication, consultation, and assignment of tasks http://utpjournals.metapress.com/content/l047r61605155270/?p=00d0289e38da4f09bf772615fe668812π=10 Informing Your Practice with Reviews Published by the Cochrane Back Review Group: Conservative Interventions for Neck and Back Pain Victoria Pennick, Irina Schelkanova, Andrea Furlan http://utpjournals.metapress.com/content/582174l821165115/?p=00d0289e38da4f09bf772615fe668812π=11 The official journal of the Canadian Physiotherapy Association (CPA), Physiotherapy Canada is published quarterly and is a scholarly, refereed journal that promotes excellence in physiotherapy by providing an international forum for the publication and review of information generated through research findings and their application, as well as innovation in clinical practice. For more information on Physiotherapy Canada or for submissions information, please contact Physiotherapy Canada Editorial Office 2345 Yonge Street, Suite 410 Toronto, Ontario M4P 2E5 Canada Tel: 416-932-1888 or 800-387-8679 Fax: 416-932-9708 Email: [log in to unmask] UTP Journals on Facebook www.facebook.com/utpjournals Join us for advance notice of tables of contents of forthcoming issues, author and editor commentaries and insights, calls for papers and advice on publishing in our journals. Become a fan and receive free access to articles weekly through UTPJournals focus. Posted by T Hawkins, UTP Journals Hotmail: Powerful Free email with security by Microsoft. Get it now. If it exists, you'll find it on SEEK Want to be a Space Travel Agent? _________________________________________________________________ Hotmail: Trusted email with Microsoft’s powerful SPAM protection. http://clk.atdmt.com/GBL/go/201469226/direct/01/