Physical therapy
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Post-intensive care syndrome (PICS) is a constellation of new or worsening impairments in physical, mental, or cognitive abilities or a combination of these in individuals who have survived critical illness requiring intensive care. ⋯ During the first year following critical illness, individuals with PICS experienced physical impairments in all 3 domains of the ICF.
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Observational Study
Contributions of Ankle, Knee, Hip, and Trunk Muscle Function to Gait Performance in People With Multiple Sclerosis: A Cross-Sectional Analysis.
The relative importance of lower extremity and trunk muscle function to gait in people with multiple sclerosis (MS) is unknown. ⋯ For the major muscles in the lower extremity and trunk, hip abduction, ankle plantar flexion, trunk flexion, and knee flexion were the strongest predictors of gait performance.
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Comparative Study Observational Study
Comparison of Downstream Health Care Utilization, Costs, and Long-Term Opioid Use: Physical Therapist Management Versus Opioid Therapy Management After Arthroscopic Hip Surgery.
Physical therapy and opioid prescriptions are common after hip surgery, but are sometimes delayed or not used. ⋯ Physical therapy first was associated with lower hip-related downstream costs and lower opioid use than opioids first; physical therapy instead of opioids was associated with less total downstream health care utilization. These results need to be validated in prospective controlled trials.
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Self-management interventions fostering self-efficacy improve the well-being of people with chronic pain. ⋯ The sustained effort to self-manage chronic pain could be exhausting, and motivation could wane over time following intervention. Providing intermittent support in the form of booster sessions and peer support groups may be important. Person-centered care via shared decision making and guided problem solving is essential to facilitating ongoing self-management.