PT 7240: Evidence-Based Practice in Physical Therapy

Permanent URI for this collectionhttps://hdl.handle.net/2346.1/38396

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A critical appraisal of "Effect of Pelvic Floor Muscle Training on Female Sexual Function During Pregnancy and Postpartum: A Randomized Controlled Trial"
(2024-01) Linson, Josephine
This appraisal is over an article published in 2017 in the Iran Crescent Med Journal over pelvic floor strengthening during and after pregnancy, and the impacts on sexual quality of life postpartum. A brief introduction to the topic is provided, as well as the presented clinical question. The methodology with which the article was found and chosen for appraisal is described. The results section includes a summary of the selected article as well as appraisals of the introduction, methods, results, and discussion of the study. Finally, clinical relevance and implementation of pelvic floor exercises are discussed.
A critical appraisal of "A critical appraisal of "Effect of Senior Dance (DanSE) on Fall Risk Factors in Older Adults: A Randomized Controlled Trial."
(2024-01) Irby, Krystyn
This critical appraisal article presented a study that hypothesized the effect of dance therapy on fall risk among geriatric community-dwelling individuals. It includes a brief introduction providing background information, highlighting the study's importance, and stating the clinical question. The article then details the methods used to find and relate the study to the clinical questions presented. The appraisal evaluates the strengths and weaknesses of each section, including the introduction, methods, results, and discussion, to assess the article's credibility. The discussion covers the clinical significance and relevance of the study, offering an opinion on whether this article is credible for the application of the intervention. In conclusion, the article suggests that dance therapy can be a fun and effective alternative for balance training in the older population.
A critical appraisal of "Effectiveness of high-intensity laser therapy in patients with myogenic temporomandibular joint disorder: A double-blind, placebo-controlled study"
(2024-01) Gunn, Savanna
This paper gives an appraisal of a 2021 article originally published in the Journal of Stomatology, Oral and Maxillofacial Surgery which evaluates the effectiveness of high-intensity laser therapy (HILT) in the treatment of patients with myogenic temporomandibular disorder. An introduction of the importance and purpose of this critical appraisal is given along with the clinical question that is answered by this research article. This is followed by a description of the methods used in the literature search process and the background information of the article chosen. An appraisal providing the strengths and weaknesses is included for each component of the article including the introduction, methods, results, and discussion. Finally, a discussion section outlines the significance and relevance of this study as well as an argument in favor of the intervention appraised and how it would be applicable in a clinical setting.
A critical appraisal of "Improvement of Gait Symmetry in Patients with Stroke by Motor Imagery"
(2024-01) Torres, Areli
This is an appraisal of a 2015 article published in The Journal of the Medical Association of Thailand that examines the influence of motor imagery training on gait symmetry in individuals who have had a stroke. The process of forming a clinical question, along with searching for articles about that question, is thoroughly explained. The formation of the clinical question is preceded by background information regarding the topic. There is then a brief synopsis of the study conducted from the article chosen. An in-depth appraisal of the strengths and weaknesses of the article's introduction, methods, results, and discussion sections is then presented. Following that, there is a discussion regarding the clinical significance of the study to current PT practice, whether the intervention should be used, and the validity of the research. Finally, there is a conclusion that highlights the key points of the critical appraisal.
A critical appraisal of "Neuromuscular Training Versus Strength Training During First 6 Months After Anterior Cruciate Ligament Reconstruction: A Randomized Clinical Trial"
(2024-01) Oberg, Jilliann
This paper is an appraisal of a 2007 article regarding whether a neuromuscular training program or a strength training program would better improve knee function for individuals post-ACL reconstruction surgery. At the beginning of this paper, I discuss how I formed my clinical question and how I came to this specific article for my appraisal. I summarized the article in this appraisal and assessed the introduction, methods, results, and discussion. While summarizing the article I also include my clinical question of interest. In this paper, I also discussed the strengths and weaknesses of the article that is being appraised. I also included a discussion regarding the validity of the article being presented along with the clinical significance. Lastly, a conclusion is added to bring the appraisal all together and finalize my thoughts.
A critical appraisal of "Effects of the Gait Training Device Plus Physiotherapy in Improving Ambulatory Functions in Patients With Subacute Stroke With Hemiplegia: An Assessor-Blinded, Randomized Controlled Trial"
(2024-01) Edinburgh, Chloe
This paper offers a critical appraisal of an article published in 2022 from the Archives of Physical Medicine and Rehabilitation about the effectiveness of combined robot-assisted gait training (RAGT) and traditional gait-training methods in stroke with hemiplegia. Within the introduction, the importance of the topic of interest is outlined along with a specification of the clinical question being analyzed. The methods utilized to find and select the article for the appraisal are summarized. The result section of this appraisal highlights the main points of the article and critiques the introduction, methods, results, and discussion sections of the article. The discussion section of this paper that follows elaborates on the clinical significance and applicability of the article and the results of the intervention studied. Finally, the conclusion revisits the practicality of the clinical use of this type of intervention as well as offering future directions to take this gait-training technology and the related research related.
Critical appraisal of "Effects of external electrical stimulation added to pelvic floor muscle training in women with stress urinary incontinence: A randomized controlled study"
(2024-01) Solis, Madison
This paper provides an appraisal of an article published in the Neurology and Urodynamics Journal in 2022 comparing the use of pelvic floor muscle training (PFMT) exercises, external electrical stimulation (EES), and the two interventions in combination for the treatment of stress urinary incontinence (SUI) in women. The specific outcomes that were used to determine the effectiveness of these interventions include pelvic floor muscle strength and endurance, urinary symptoms, pelvic floor dysfunction, and QOL in women with SUI. The topic of interest is briefly introduced, and the clinical question is provided as well. The process of searching for literature pertaining to this topic and the reasons for the selection of this study are discussed. Additionally, a brief overview of SUI is provided in order to further highlight the meaning or purpose of this research study. The introduction, methods, results, and discussion sections of the article are analyzed for their respective strengths and weaknesses in order to better appraise the article. Finally, a discussion regarding the clinical significance and practical application of the findings of this article is presented, as well as an overall critical appraisal of the research article and the future application of these two interventions.
Randomized Controlled Trial of Aquatic Exercise for Treatment of Knee Osteoarthritis in Elderly People
(2024-01) Miller, Micaela
The following is an appraisal of an article that was published in 2019 and addresses the efficacy of aquatic therapy on patients with knee osteoarthritis. An introduction will be given on the importance of this intervention, and the initial clinical question will be introduced. Following the introduction, a methodology section will describe searching and choosing an article. Next, in the results section, readers will find a summary of the article. In addition, an appraisal of the study's introduction, methods, results, and discussion can be found in the results section. These appraisals will include the strengths and limitations of the specified section. Finally, in the discussion, there will be an indication of the clinical significance of this intervention.
A critical appraisal of "Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial."
(2024-01) Garza, Carissa
This paper provides a critical appraisal of a 2021 article in the BMC Musculoskeletal Disorders Journal about the effect of core stabilization exercises versus strengthening exercises on proprioception, balance, muscle thickness and pain-related outcomes in patients with subacute nonspecific low back pain. In this paper I will address the process of how I came up with my clinical question and how I went about searching for an article to appraise. This paper starts with a summary of the research article presented first. Then followed by an appraisal of the introduction, methods, results, and discussion sections. Finally, this paper will explain the clinical significance, potential benefits and risks, and application of this intervention in the future. A conclusion of the overall effect of core stability and strengthening exercises is incorporated at the end.
A critical appraisal of "Balance training with multi-task exercises improves fall-related self-efficacy, gait, balance performance, and physical function in older adults with osteoporosis: a randomized controlled trial"
(2024-01) Voskamp, Molly
This is an appraisal of a 2015 article published by the Clinical Rehabilitation journal addressing the effects of dual and multitask balance training exercises compared to traditional balance training and physical activity. The introduction of the topic and explanation for the formation of the clinical question is presented. The process of selecting the article is described, including exclusion and inclusion criteria, as well as the specific search parameters that were placed during the search. A summary of the article is presented in the results section and highlights the strengths and weaknesses of the introduction, methods, results, and discussion sections of the research study. A discussion regarding the intervention, clinical significance, and reliability/validity of the article is offered. Final conclusions about the overall effectiveness of dual and multitask training were discussed as well as suggestions for future research and use of the intervention in a clinical setting.
A critical appraisal of "Randomized Control Trial to Examine the Impact of Aquatic Exercise Training on Functional Capacity, Balance and Perceptions of Fatigue in Female Patients with Multiple Sclerosis."
(2024-01) Knight, Jaelyn
This is an appraisal of the article titled "Randomized Control Trial to Examine the Impact of Aquatic Exercise Training on Functional Capacity, Balance and Perceptions of Fatigue in Female Patients with Multiple Sclerosis". This article analyzes the effects of aquatic therapy on female patients with relapse-remitting multiple sclerosis. The purpose of this paper is to analyze the effectiveness of the article in convincing us that this intervention is a tool that we can use in our clinics. To convince us, the article should be easy to read, incorporate all the necessary information we need to replicate this study, report its findings, and highlight biases or limitations that could be seen with this trial. This paper starts with a short synopsis of the topic of interest as well as addresses the clinical question we are looking to answer with the article selection. It then moves on to break down the different sections of the article highlighting each section's strengths and weaknesses in convincing us of this intervention. Finally, it will highlight its clinical significance as well as make an argument for this intervention. It is concluded with a summary of the paper and a decision on whether this article is convincing to the readers or not.
A critical appraisal of "Comparisons Between Low-Intensity Resistance Training With Blood Flow Restriction And High Intensity Resistance Training On Quadriceps Muscle Mass And Strength In Elderly"
(2024-01) Hutchinson, Camden
This paper provides an appraisal of a 2015 article published by the Journal of Strength and Conditioning Research (JSCR) which discusses the use of low-intensity resistance training with blood flow restriction (LRT-BFR) in comparison to high-intensity resistance training (HRT) in elderly adults. The process by which this paper came to be started with a formed clinical question followed by the discovery of an article which helped to answer that question. The article chosen for appraisal compares LRT-BFR to HRT in a sample of elderly adults to determine what effect is had on the quadriceps strength and cross-sectional area (CSA). In this paper a summary of the research will be compiled along with a summary of the introduction, methods, results, and discussion. Each part of the study shall be effectively broken down and evaluated based on its overall strengths and weaknesses. Also included in this paper will be a section which discusses the results of the study and then ties those results into their clinical applications. My personal opinions, as well as opinions on how this research can be helpful to health care professionals will also be discussed.
A critical appraisal of "Effects of Balance Exercise Assist Robot Training for Patients with Hemiparetic Stroke: A Randomized Controlled Trial"
(2024-01) Alexander, Jordan
This critical appraisal overviews the use of robotic balance training compared to intensive balance training and a control group. The study is conducted on first time hemiparetic stroke patients who have no comorbidities that impact balance. This article discusses the findings of the research and the strengths and weaknesses of the research and its findings. A conclusion and discussion are made in regard to the results of the study and determines the clinical significance of the intervention being performed.
A critical appraisal of "Effectiveness of progressive tendon-loading exercise therapy in patients with patellar tendinopathy: a randomised clinical trial"
(2024-01) Cave, Cole
The goal of this paper is to present an appraisal of a research study conducted by Dr. Stephan Breda and other authors at a university medical center in the Netherlands. It was published in 2020 by the British Journal of Sports Medicine. This study compared progressive tendon-loading exercises (PTLE) to eccentric exercise therapy (EET) in the treatment of athletes with patellar tendinopathy. In this paper, each section of the research study is both summarized and critiqued. This includes the introduction, methods, results, and discussion. The clinical applications and relevance of the research are also discussed. Finally, this paper concludes with a summary of PTLE and EET as well as the future usage of these methods of treatment.
A critical appraisal of "Impact of a six-week prehabilitation with blood-flow restriction training on pre- and postoperative skeletal muscle mass and strength in patients receiving primary total knee arthroplasty"
(2022-12) Reyes, Gabriela
This term paper is an appraisal of a 2022 research article regarding the use of a prehabilitation program with Blood Flow Restriction (BFR) exercise on patients with end stage gonarthrosis before and after undergoing elective Total Knee Arthroplasties (TKA). The research article chosen was published in Frontiers of Physiology. This paper will begin with a brief introduction to the topic of BFR, the formulated clinical question, and why this specific article was chosen for critical appraisal. A summarization of this study will be followed by a critical appraisal of each section including the introduction, methods, results, and discussion. The paper will conclude with a discussion of the findings, clinical relevance, and overall results of the use of BFR.
A critical appraisal of "Does acute passive stretching increase muscle length in children with cerebral palsy?"
(2022-12) Hoenshell, Brittney
This paper serves as an appraisal for a 2013 article published in the journal, Clinical Biomechanics, regarding the effects of acute passive stretching on muscle length in children with cerebral palsy. A brief description of how this article was chosen for appraisal is provided in the introduction and methods sections, along with information regarding the clinical question. In the results, a critical appraisal of the article takes place to identify the strengths and weaknesses of the 2013 article. Finally, clinical significance for the study is illustrated in the discussion.
A critical appraisal of "The effects of exoskeleton assisted knee extension on lower-extremity gait kinematics, kinetics, and muscle activity in children with cerebral palsy"
(2022-12) Boudreau, Elizabeth
This report offers an appraisal of a 2017 article published in Scientific Reports regarding the use of robotic exoskeletons in children and adolescents with crouch gait from Cerebral Palsy. The clinical question that led in the selection of this article are introduced, followed by a description of the methods used to find this work. A summary of the chosen article can be found in the results section, as well as an appraisal of the introduction, methods, results, and discussion individually. This precedes the discussion about the clinical significance and relevance of the concluded results. The last section offers discussion about the use of robotic exoskeletons in clinics and future use of robotic assisted therapy.
A critical appraisal of "Anxiety, depression, and quality of life in backache patients before and after spinal traction"
(2022-12) Budd, Ashira
The article selected for a critical appraisal was chosen because of its relevance to treatment of chronic low back pain. Chronic low back pain is an umbrella term inclusive of several pathological conditions. It is likely that most individuals will experience low back pain once in their life. Forming a better understanding of how traction therapy works, and its effectiveness may help treat individuals early with their symptoms as well as individuals suffering chronically. This critical appraisal aimed to analyze the study's introduction, methods, results, and discussion to determine relevance and credibility of the study's findings for clinical application. The critical appraisal was completed over several weeks aligned with weekly class lectures to thoroughly assess each section of the article.
Appraisal of "Exercise in idiopathic Parkinson's patients"
(2022-12) Hendrix, Elijah
This paper presents a critical appraisal of a 2015 article published by the Plos One Journal in Germany about resistance- and balance-based treatments for Parkinson's patients. The clinical question that led to this appraisal is included in the introduction, which is followed by the methods employed to find the article. The work is further summarized in the results section with subsequent appraisals of the introduction, methods, results, and discussion of the article. Lastly, there is a discussion including the clinical implications of this article and its potential footing in the therapy realm.
A critical appraisal of "Effects of hippotherapy on the sitting balance of children with cerebral palsy: a randomized control trial"
(2022-12) Via, Macy
This paper provides a critical appraisal of the Journal of Physical Therapy Science Article from 2012, concerning the effective differences between hippotherapy and clinical physical therapy on children with severe cerebral palsy. A description is provided to my clinical question, "In patients with cerebral palsy, will an increase in postural control and balance be progressed further in a hippotherapy session compared to a clinical physical therapy session,"� that resulted in the appraisal of this article. Information is provided regarding how the article was chosen, where it was found, and a brief overview of the article is discussed. A summary of strengths and weaknesses for the introduction, methods, results, and discussion are provided in the "Results"� section. The appraisal concludes with the clinical significance of the research study as well as its relevance. Implications for future studies are also discussed.

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