The objectives were to determine whether or not manual hyperinflation (MHI) is used as a treatment technique by physiotherapists on respiratory compromised patients in intensive care units (ICU), to determine physiotherapists‟ knowledge on the use of MHI (indications, contra-indications, treatment effect) as a treatment technique on respiratory compromised patients in ICU, to compare the physiotherapists‟ knowledge on the use of MHI to their utilisation of MHI in ICU, and to determine whether the effect of clinical experience has an influence on physiotherapists‟ decision making regarding the use of MHI in the ICU setting. The last objective was to investigate whether the working environment has an influence on the utilisation of MHI by physiotherapists practicing in adult ICUs in South Africa.

Diss. (sammanfattning) Göteborg : Univ. , 2006. / Härtill 4 uppsatser.

by Emil, Chiu Hong Man. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1993. / Includes bibliographical references (leaves 108-118). / Acknowledgment --- p.6 / List of Abbreviations --- p.7 / Summary --- p.8 / Chapter Chapter 1 --- Childhood Asthma - An Overview --- p.10 / Chapter 1.1 --- Definition of childhood asthma --- p.10 / Chapter 1.2 --- Basic Pathophysiology of Asthma --- p.11 / Chapter 1.2.1 --- Airway obstruction --- p.11 / Chapter 1.2.2 --- Airway inflammation --- p.11 / Chapter 1.2.3 --- Bronchial hyperresponsiveness --- p.12 / Chapter 1.2.4 --- Trigger factors of asthma --- p.12 / Chapter 1.3 --- Measurement of the severity of asthma --- p.14 / Chapter 1.3.1 --- Obj ective measures of lung function --- p.14 / Chapter 1.3.2 --- Measures of bronchial hyperresponsiveness --- p.15 / Chapter 1.3.3 --- Clinical measures --- p.16 / Chapter 1.4 --- Epidemiology --- p.16 / Chapter 1.5 --- Treatment of asthma --- p.19 / Chapter 1.5.1 --- Pharmacological treatment --- p.19 / Chapter 1.5.2 --- Non-pharmacological treatment --- p.20 / Chapter 1.5.3 --- Behavioral Intervention --- p.24 / Chapter 1.5.4 --- Summary of treatment of asthma --- p.28 / Chapter Chapter 2 --- Change in Lung Mechanic During Asthmatic Attack --- p.29 / Chapter 2.1 --- Asthmatic Attack --- p.29 / Chapter 2.2 --- Hyperinflation of the lungs during asthmatic attack --- p.30 / Chapter 2.3 --- Effect of hyperinflation on respiratory muscle function --- p.32 / Chapter Chapter 3 --- Biofeedback Intervention --- p.36 / Chapter 3.1 --- Background --- p.36 / Chapter 3.2 --- Definition of biofeedback --- p.36 / Chapter 3.3 --- Biofeedback as an adjunctive treatment to asthma --- p.37 / Chapter 3.3.1 --- Direct airways biofeedback --- p.38 / Chapter 3.3.2 --- Muscle EMG biofeedback --- p.41 / Chapter 3.4 --- Justification of study --- p.45 / Chapter Chapter 4 --- Material and Methods --- p.47 / Chapter 4.1 --- Study design and patients recruitment --- p.47 / Chapter 4.2 --- Equipment and measurement --- p.49 / Chapter 4.2.1 --- Biofeedback unit and the computer system --- p.49 / Chapter 4.2.2 --- Mini Wright flow meter --- p.50 / Chapter 4.2.3 --- Clinical measures --- p.50 / Chapter 4.2.4 --- Bronchial provocation test --- p.51 / Chapter 4.3 --- Biofeedback training --- p.53 / Chapter 4.3.1 --- Preparation of the patient --- p.53 / Chapter 4.3.2 --- Training Procedures --- p.54 / Chapter 4.3.3 --- Criteria for successful training --- p.55 / Chapter 4.4 --- Statistical methods --- p.56 / Chapter Chapter 5 --- Results --- p.58 / Chapter 5.1 --- Immediate training effects --- p.58 / Chapter 5.1.1 --- Comparison between the successful group and the fail group --- p.59 / Chapter 5.1.2 --- Combining successful and fail groups as the training group --- p.63 / Chapter 5.2 --- One year follow-up --- p.65 / Chapter 5.2.1 --- Social and clinical characteristics of both training and control group --- p.65 / Chapter 5.2.2 --- Clinical characteristic --- p.66 / Chapter 5.2.3 --- Attack rate --- p.66 / Chapter 5.2.4 --- The Fscore --- p.67 / Chapter 5.2.5 --- Score --- p.67 / Chapter 5.2.6 --- Mscore --- p.68 / Chapter 5.2.7 --- Bronchial hyperresponsiveness --- p.68 / Chapter 5.2.8 --- Lung functions --- p.69 / Chapter Chapter 6 --- Discussion --- p.95 / Chapter 6.1 --- Physiological effects --- p.95 / Chapter 6.1.1 --- EMG --- p.96 / Chapter 6.1.2 --- Pulse rate and skin temperature --- p.97 / Chapter 6.1.3 --- Lung functions --- p.97 / Chapter 6.2 --- Clinical outcomes --- p.100 / Chapter 6.2.1 --- Attack rate and symptom --- p.100 / Chapter 6.3 --- Clinical implication of study --- p.101 / Chapter 6.4 --- Limitation and difficulties --- p.103 / Chapter 6.5 --- Suggestions for further study --- p.104 / Chapter Chapter 7 --- Conclusions --- p.105 / References --- p.108 / Appendix1 --- p.119 / Appendix2 --- p.120 / List of Figures --- p.122 / List of Tables --- p.124

Thesis (Ph. D.)--University of Washington, 2001. / Vita. Includes bibliographical references (leaves 65-68).

Lic.-avh. (sammanfattning) Stockholm : Karolinska institutet, 2008. / Härtill 2 uppsatser.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2006. / Härtill 4 uppsatser.

Thesis (Ph.D. in Clinical Science) -- University of Colorado at Denver and Health Sciences Center, 2006. / Typescript. Includes bibliographical references (leaves 58-61). Free to UCDHSC affiliates. Online version available via ProQuest Digital Dissertations;

Massagem para bebês é um recurso que produz efeitos benéficos para a criança e gratificantes tanto para quem recebe quanto para quem realiza a massagem. Esta dissertação tem por objetivo avaliar o aprendizado de massagem para bebês por meio de duas intervenções educacionais diferentes, e a adesão à massagem por parte das mães. Para tanto, o primeiro passo foi elaborar e validar um manual de massagem para bebês e, posteriormente, avaliar as formas de intervenção educacional e a adesão das mães à utilização da massagem. A elaboração do manual de massagem para bebês foi realizada após revisão bibliográfica e a validação do mesmo, foi realizada junto a 24 peritos que avaliaram nove critérios e, a 40 mães submetidas à avaliação teórico-prática, divididas em grupos de acordo com o grau de instrução. Nesta etapa, após avaliação dos peritos foram necessárias modificações no texto e nas figuras contidas no manual. A validação ocorreu junto a dois grupos de mães: Grupos A (formação de ensino médio e curso técnico) e Grupo B (formação de ensino fundamental). De modo geral, as mães do Grupo B apresentaram maior dificuldade quanto aos conteúdos teórico e prático em relação às do Grupo A. A avaliação do aprendizado e da adesão foi realizada com 40 mulheres primigestas divididas em: Grupo Curso - participaram de um curso e receberam o manual e, Grupo Manual - somente receberam o manual. O aprendizado teórico foi avaliado por meio de testes e o prático, pela execução da seqüência de massagem. Para avaliar a adesão, as mães responderam a uma entrevista três meses após o parto. Como resultados podemos observar que, no teste teórico, o Grupo Curso apresentou um desempenho satisfatório em relação ao Grupo Manual. Todas as mães reproduziram a seqüência de massagem proposta, sem feedback da pesquisadora. Com relação à adesão, utilizaram seqüência completa de massagem 70% das mães do Grupo Manual e 55% das mães do Grupo Curso. Os grupos utilizaram a técnica com finalidade de produzir principalmente efeitos fisiológicos, seguidos dos comportamentais. A massagem foi utilizada com freqüência, principalmente durante situações cotidianas sugeridas no manual. Na primeira etapa, pode-se concluir que a participação dos peritos e das mães foi decisiva na qualidade do manual original que se mostrou um instrumento eficaz para ensino de massagem em bebês. Na última etapa, não houve diferenças acentuadas na aprendizagem e na adesão entre os grupos Curso e Manual / Massage for babies is a resource that produces beneficial effects for the child and gratifying so much for who receives as for who accomplishes the massage. This dissertation has for objective to evaluate the massage learning for babies through two different education interventions, and the adherence to the massage by mothers. For this, the first step was to elaborate and to validate a massage manual for babies and, later, to evaluate the forms of education intervention and the adhesion of the mothers to the use of the massage. The elaboration of the massage manual for babies was accomplished after bibliographical revision and the validation of the same, it was accomplished by 24 experts that evaluated nine criteria and, by 40 mothers submitted to the evaluation theoretical-practice, divided in groups in agreement with the instruction degree. In this stage, after evaluation by experts were necessary modifications in the text and in the illustrations contained in the manual. The validation happened with two groups of mothers: Group A (formation in college and technician course) and Group B (formation in fundamental degree). In general, the mothers of the group B presented larger difficulty as for the theoretical as the practical contents, in relation to the ones of the Group A. The evaluation of the learning and of the adherence it was accomplished by 40 women primiparas divided in: Group Course - they participated in a course and they received the manual and, Manual Group - they only received the manual. The theoretical learning was evaluated through tests and the practical, for the execution of the massage sequence. To evaluate the adherence, the mothers answered an interview three months after the childbirth. As results can observe that, in the theoretical test, the Group Course presented a satisfactory acting in relation to the Manual Group. All of the mothers reproduced the massage sequence proposed, without the researcher\'s feedback. Regarding to the adherence, 70% of the mothers of the Manual Group used the complete succession of the massage and 55% of the Group Course. The groups used the technique with purpose of producing mainly physiologic effects, following by the behavioral effects. The massage was used frequently, mainly during daily situations suggested in the manual. In the first stage, it can be ended that the participation of the experts and of the mothers it was decisive in the quality of the original manual that was shown an effective instrument for massage teaching in babies. In the last stage, there were not differences accentuated in the learning and in the adherence between the Groups Course and Manual

by Alice Yee-men Jones (Nee Ho). / Thesis (M.Phil.)--Chinese University of Hong Kong, 1992. / Includes bibliographical references (leaves [196]-221). / Abstract --- p.i / Publications --- p.iii / Acknowledgement --- p.v / Chapter SECTION I --- INTRODUCTION / Chapter Chapter 1 --- General Introduction --- p.1 / Chapter 1.1 --- Objectives / Chapter 1.2 --- History & Advances in Chest Physiotherapy / Chapter 1.3 --- Problems of Chest Physiotherapy Research / Chapter 1.4 --- Plan of work / Chapter Chapter 2 --- Previous Studies in Chest Physiotherapy --- p.15 / Chapter 2.1 --- Chest Physiotherapy and oxygenation / Chapter 2.2 --- Chest Physiotherapy and sputum clearance / Chapter 2.3 --- Chest Physiotherapy and lung function / Chapter Chapter 3 --- "Chest Physiotherapy Practice in ICUs in Australia, the UK and Hong Kong" --- p.34 / Chapter SECTION II --- METHODS / Chapter Chapter 4 --- Measurement of Oxygenation --- p.55 / Chapter 4.1 --- Measurement of arterial oxygenation / Chapter 4.2 --- Indirect measurement of arterial oxygenation / Chapter Chapter 5 --- Respiratory Function Analysis --- p.66 / Chapter 5.1 --- Spirometry measurement / Chapter 5.2 --- Measurement of lung mechanics / Chapter Chapter 6 --- Transcutaneous Electrical Nerve Stimulation --- p.74 / Chapter SECTION III --- RESPIRATORY PHYSIOTHERAPY TECHNIQUES / Chapter Chapter 7 --- Effects of Percussion and Bagging on Static Lung Compliance --- p.80 / Chapter Chapter 8 --- Peak Expiratory Flow from two Breathing Circuits --- p.106 / Chapter Chapter 9 --- Peak Expiratory Flow in Tracheal Intubated Patients --- p.127 / Chapter SECTION IV --- PHYSIOTHERAPY AND PAIN MANA GEMENT IN ICU PATIENTS / Chapter Chapter 10 --- Transcutaneous Electrical Nerve Stimulation (TENS) following Thoracotomy --- p.142 / Chapter Chapter 11 --- TENS following Cholecystectomy --- p.154 / Chapter Chapter 12 --- TENS and Entonox --- p.167 / Chapter SECTION V --- SUMMARY AND CONCLUSIONS / Chapter Chapter 13 --- Summary --- p.185 / Chapter Chapter 14 --- Conclusion --- p.194 / Chapter SECTION VI --- REFERENCES --- p.197 / Chapter SECTION VII --- APPENDICES --- p.222

Embora a literatura científica apresente estudos recentes enfocando diferentes abordagens da fisioterapia no tratamento dos pontos gatilhos miofasciais em indivíduos com cervicalgia, ainda existem recursos fisioterapêuticos comumente utilizados na prática clínica do fisioterapeuta que não possuem o devido respaldo científico. Assim sendo, o objetivo do presente estudo foi avaliar o emprego do ultrassom estático e das correntes diadinâmicas sobre pontos gatilhos miofasciais associado a um programa de terapia manual para o tratamento de indivíduos com cervicalgia. Para tal, foram incluídos sessenta voluntários de ambos os gêneros, com idade entre 18 e 45 anos e cervicalgia crônica, além da presença bilateral de pontos gatilhos miofasc iais ativos no músculo trapézio fibras descendentes. Assim, os indivíduos foram randomizados em três grupos com vinte integrantes em cada: Grupo 1 (terapia manual), Grupo 2 (terapia manual + ultrassom estático) ou Grupo 3 (terapia manual + correntes diadinâmicas). Os voluntários foram submetidos a dez sessões de tratamento, duas sessões semanais, durante cinco semanas, sendo os mesmos avaliados em quatro momentos: antes das sessões de tratamento, 48 horas após a primeira sessão fisioterapêutica, após as dez sessões de tratamento e quatro semanas após o término das sessões. Foram empregadas na avaliação a Escala Numérica de Dor, Neck Disability Index, algometria, Escala de Pensamentos Catastróficos sobre Dor, fleximetria, termografia infravermelha e eletromiografia de superfície. Na análise ao longo do tempo, observou-se redução significativa da intensidade de dor, da incapacidade e da catastrofização, e incremento significativo do limiar de dor à pressão nos três grupos (p < 0,05). Para os Grupo 2 e 3, ocorreu incremento significativo na amplitude de movimento de flexão, rotação à direita e à esquerda, e redução significativa da temperatura cutânea à esquerda após a instituição dos recursos fisioterapêuticos (p < 0,05). Além disso, houve incremento significativo na amplitude de movimento de inclinação lateral à direita e redução significativa da temperatura cutânea à direita apenas no Grupo 2 (p < 0,05). Para as comparações entre os grupos, não foi observada interação grupo-versus-tempo para os desfechos intensidade de dor, incapacidade, catastrofização, limiar de dor à pressão, amplitude de movimento da cervical e temperatura cutânea (valor de F variando entre 0,089-1,961; valor de p variando entre 0,106-0,977). Além disso, não foi observada diferença entre os grupos na atividade eletromiográfica (p > 0,05). Diante do exposto, conclui-se que o emprego do ultrassom estático ou correntes diadinâmicas sobre pontos gatilhos miofasciais no músculo trapézio fibras descendentes associado a um protocolo de terapia manual não gera benefícios maiores do que o programa de terapia manual sozinho em indivíduos com cervicalgia crônica. / Although the scientific literature has presented recent studies focusing on different physical therapy approaches to the treatment of myofascial trigger points in individuals with cervicalgia, some of the resources that are still used in the clinical practice of physical therapy are done so without due scientific basis. Therefore, the objective of the present study was to evaluate the use of static ultrasound and diadynamic currents on myofascial trigger points together with a manual therapy program to treat individuals with cervicalgia. For such, we selected sixty volunteers of both genders between the ages of 18 and 45 years, with chronic cervicalgia and the presence of bilateral active myofascial trigger points on the upper trapezius. Thus, individuals were randomly allocated into one of three groups, with twenty participants each: Group 1 (manual therapy), Group 2 (manual therapy + static ultrasound) or Group 3 (manual therapy + diadynamic currents). The volunteers were submitted to ten treatment sessions, consisting of two weekly sessions for five weeks, and were assessed at four points: before the treatment sessions, 48 hours after the first physical therapy session, after ten treatment sessions, and four weeks after the last session. As measuring instruments, we employed the Pain Numeric Rating Scale, the Neck Disability Index, algometry, the Pain Related Self-Statement Scale, fleximetry, infrared thermography and surface electromyography. In our analysis over time, we observed a significant reduction in pain intensity, disability and catastrophizing, and a significant increase in pressure pain threshold in the three groups (p < 0.05). Groups 2 and 3 showed a significant increase in flexion range of motion, left and right rotation, and a significant reduction in skin temperature on the left after implementing the physical therapy resources (p < 0.05). Furthermore, only Group 2 presented a significant improvement in right lateral tilt range of motion and a significant reduction in skin temperature on the right (p < 0.05). There was no group-versus-time interaction for pain intensity, disability, catastrophizing, pressure pain threshold, cervical range of motion, and skin temperature (F-value range: 0.089-1.961, p-value range: 0.106-0.977). Moreover, we found no differences between groups regarding electromyographic activity (p > 0.05). In conclusion, the use of static ultrasound or diadynamic currents on myofascial trigger points on the upper trapezius in association with a manual therapy program does not generate greater benefits than a manual therapy program alone among individuals with chronic neck pain.