Search results for "fysioterapia"
showing 10 items of 130 documents
Serratus anterior contraction during resisted arm extension (GravityFit) assessed by MRI
2019
Background: Scapular stabilization is a common focus of shoulder rehabilitation. Objective: Examine contraction of serratus anterior during a bilateral arm extension exercise with axial compression using an exercise device (GravityFit) by magnetic resonance imaging (MRI). Methods: MRI was performed under two conditions: rest and static arm extension with axial compression. Load was set at 20% of age, sex and weight estimated bench press one-repetition maximum. A T2-weighted sequence was used to collect 14 axial images of the upper thoracic spine and shoulder bilaterally. Mean muscle length and thickness were calculated for the whole muscle and in equidistant subregions of the muscle in its …
Graduating Physiotherapy Students’ Conceptions of their own Competence
2017
A competence-oriented approach has recently emerged in higher education and thus far, not much attention has been paid to how “competence” itself is understood in education. The purpose of this study was to examine how graduating physiotherapy students perceive their competence at the end of their studies. The data comprised interviews with 33 graduating physiotherapy students. The data were analysed with the phenomenographic approach. The findings indicated that graduating students had different and wide-ranging conceptions of what competence in physiotherapy entails and what their own competence covers. The descriptive categories – mastering core skills, understanding the theoretical basi…
Practical work in physiotherapy students’ professional development
2017
Learning practical work through cooperation between school and working life is part of physiotherapy higher education. Students learn practical work through the integration of theoretical, practical, tacit and situational knowledge in a socialization process. Workplace practices and habits direct students’ learning. This study answers the question: What kind of conceptions of learning practical work do physiotherapy students have? Longitudinal data written by 21 volunteer students (mean age 25 years) was collected over three and a half years. Thematic analysis was used to analyse the data. Learning practical work proceeds in five phases: (1) the basis of practical work, human movement and a…
Enhanced rehabilitation guidance after arthroscopic capsulolabral repair of the shoulder : a randomized controlled trial
2020
Objective: To compare the effects of a 12-month home-based exercise program to usual care in patients after arthroscopic capsulolabral repair of the shoulder. Design: Randomized controlled trial. Setting: Outpatient physical and rehabilitation medicine clinic. Subjects: Forty-five patients (mean age: 35 years; standard deviation (SD): 10 years) who underwent arthroscopic capsulolabral repair due to labral lesion were randomized into an exercise group (EG) or a control group (CG). Intervention: The EG received a 12-month home-based additional exercise program with four physiotherapy follow-up visits, while the CG received standard postoperative exercise instructions. Main measures: Self-repo…
Intra- and inter-rater reliability of thoracic spine mobility and posture assessments in subjects with thoracic spine pain
2020
Abstract Background The thoracic spine (TS) has been neglected in the study of the spine despite its essential role in the stability and posture of the entire spinal complex. Therefore, there is an inevitable need to investigate the reproducibility of different thoracic spinal posture measures used in subjects with TS pain. Methods Thirty-two subjects (16 females and 16 males, mean age 39 years) were evaluated by two physiotherapists on the same day to gauge inter-rater reliability and on two consecutive days to gauge intra-rater reliability. TS posture was assessed by observation, and thoracic spine mobility was measured by manual assessment of segmental flexion and extension mobility in a…
Patient education in physiotherapy in total hip arthroplasty (THA) - The perspective of physiotherapists
2018
Background and Purpose There is limited knowledge about patients’ and physiotherapists’ perceptions of patient education in physiotherapy in hip arthroplasty. The aim of this study was to describe physiotherapists’ conceptions of the patient education in physiotherapy needed by patients undergoing total hip arthroplasty. Methods The data for this qualitative study were collected using group and individual semi-structured interviews. Seven physiotherapists were interviewed. The research data were analyzed using a phenomenographic method. Results Three categories of patient education in physiotherapy in hip arthroplasty were produced and the categories formed a hierarchy. The narrowest descri…
Evaluation of training in guideline-oriented biopsychosocial management of low back pain in occupational health services:Protocol of a cluster random…
2021
Background To prevent low back pain (LBP) from developing into a prolonged disabling condition, clinical guidelines advocate early stage assessment, risk‐screening, and tailored interventions. Occupational health services recommend guideline‐oriented biopsychosocial screening and individualized assessment and management. However, it is not known whether training a limited number of health care professionals improves the management process. The primary objective of this study is to investigate whether training in the biopsychosocial practice model is effective in reducing disability. Furthermore, we aim to evaluate health‐economic impacts of the training intervention in comparison to usual m…
"Me halutaan ymmärtää" : vanhempien käsityksiä fysioterapeuttisesta ohjauksesta CP-lapsen botuliinihoidon yhteydessä
2014
Kemialliset ja ortopediset hoidot ovat nousseet perinteisen fysioterapian rinnalle spastisuuden hoitokeinona. Siitä huolimatta että kahden viime vuosikymmenen aikana näiden hoitojen suosio on kasvanut, ne eivät korvaa perinteistä fysioterapiaa. Kemiallisena hoitona botuliinitoksiini A -hoidon suosio on perustunut leikkaustarpeen viivyttämiseen, kivun hallintaan sekä spastisuuden helpottumisen kautta toiminnallisuuden lisääntymiseen erityisesti lievästi tai keskivaikeasti CP-vammaisilla lapsilla ja nuorilla. Botuliinihoidon tehokas hyödyntäminen edellyttää sekä fysioterapian että perheen fysioterapeuttisen ohjauksen toteutumista. Lapsen elinympäristö on perhe, ja vanhempien käsityksiä botuli…
"Nykyään sitä on oppinut arvostaa" : nuorten, joilla on CP- vamma, kokemuksia pitkäaikaisesta fysioterapiasta
2012
Pro gradu- tutkimukseni tarkoituksena on ymmärtää ja kuvata nuorten, joilla on CP- vamma, kokemuksia pitkäaikaisesta fysioterapiasta fenomenologis- hermeneuttisen tutkimusasetelman kautta. Tutkimus liittyy laajempaan Jyväskylän yliopiston koordinoimaan Potilasohjaus fysioterapiassa – projektiin ja sillä on tutkimuslupa HUS:n eettiseltä toimikunnalta. Tutkimukseen osallistui 10 nuorta, joilla on ollut fysioterapiaa pienestä lapsesta lähtien, 16-22 -vuotta. Aineisto kerättiin avoimien yksilöllisten haastattelujen avulla ja analysoitiin Spiegelbergin (1982) ja Laineen (2010) aineistoanalyysimenetelmän kautta. Tutkimukseen osallistuneiden nuorten merkityskokonaisuuksina ilmenivät: fysioterapia …
Kokeneiden tule-fysioterapeuttien käsityksiä fysioterapeuttisesta osaamisesta
2014
Tutkimuksen tarkoituksena oli selvittää, minkälaisia käsityksiä tuki- ja liikuntaelinsairauksien suoravastaanottokoulutusta aloittavilla, kokeneilla fysioterapeuteilla (n=28) oli ammatillisesta osaamisesta. Fysioterapeuttien osaamisesta on tehty runsaasti tutkimuksia, sen sijaan osaamiskäsityksiä ei ole tutkittu. Fysioterapeuttien tehtäväkuva on muuttumassa ja osaamisvaatimukset laajenevat. Kapean erikoisosaamisen sijasta tulevaisuudessa tarvitaan laajempaa näkemystä toimintakykyisyyden tukemisen keinoista. Muun muassa väestön ikääntyminen tuo uudenlaisia haasteita ja työelämässä tarvitaan yleisesti yhteistyötaitoja, moniosaamista, kykyä siirtyä joustavasti tehtävästä toiseen, sekä oman osa…