Dear Chris
Addressing point 1 only as I am short of time today
I am very much in favour of continuing physiotherapy intervention in
post-thoracotomy pts. My particular field is oncology and pain; in
particular chronic pain linked to cancer-related treatments.
This is a developing area of physiotherapy interest in collobaration with
the growing interest in 'chronic post-surgical pain' (CPSP)
A lot of the work in CPSP has been done by William Macrae in Dundee, he
states the main culprits as being thoracotomy, breast surgery, hernia repair
and amputation amongst others.
As a physio, I am interested in the physical manifestations of these
prolonged post-op pains and the adverse effects that further treatments ie.
radiotherapy can have on them. I find that in many DGH's these pts are not
routinely followed up and chronic musculoskeletal problems develop. Examples
of common problems are 1)Stiffness in shoulder jt and girdle 2)muscle
imbalances 3)ANT 4)postural problems etc......
Hope this is of help
Karen
Research Physio
Royal Marsden
>From: "Chris Taylor" <[log in to unmask]>
>Reply-To: [log in to unmask]
>To: <[log in to unmask]>
>Subject: Can anybody help?
>Date: Tue, 7 Dec 1999 23:26:25 -0000
>
>Can anybody help me?
>
>I am a final year Physiotherapy Student and have two assignments and a
>dissertation that are currently underway and I could do with a little help.
>I’m not expecting any of you out there to do them for me, I would just like
>a little extra input that may make the end products stick out a little bit.
>
>I know that [log in to unmask] is not a forum for students to get the
>answers without doing a thing, and I have done extensive searches
>(especially for my dissertation).
>
>Without any further delay I will list a few things that I would like to
>know (if available):-
>
> 1.. Concerning CVR Physiotherapy. Is there any evidence out there or
>does anybody have any strong opinions that disputes or favours the fact
>that Physiotherapy has traditionally been considered an essential component
>of the pre and post-operative management of the patient undergoing thoracic
>surgery, and can be therefore be justified as a continuing contribution in
>the care of such patients.
> 2.. Concerning Musculoskeletal Physiotherapy. Is there any evidence
>out there or does anybody have any strong opinions that disputes or favours
>the argument that Yellow Flags (Psychosocial Measures) are of limited
>importance when conducting Physiotherapeutic Assessment of musculoskeletal
>patients.
> 3.. I would like to know where I could obtain a list of statistics
>concerning physiotherapy intervention on the treatment of ACL injuries in
>the UK. My main interest is of injuries on female athletes in non-contact
>situations.
>If anybody out there can help me I would be very grateful and I hope that
>one day I could be providing input on some matters of debate. Also, if
>anybody wants a copy of my list of references I would be happy to send them
>to you.
>
>I look forward to hearing from (any) of you.
>
>Chris Taylor
>
>
>
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