POPULARITY
With Henrike Arfsten, University of Vienna, Vienna - Austria, Juan Pablo Kaski, University College London, London - United Kingdom, Mateusz Sokolski, Wroclaw Medical University, Wroclaw - Poland, Jozine ter Maaten, University Medical Center Groningen, Groningen - the Netherlands, Peter van der Meer, University Medical Center Groningen, Groningen - the Netherlands, Antonio Cannata, King's College London, London - United Kingdom & Theresa McDonagh, King's College Hospital, London, United Kingdom. This podcast discusses two new guidelines and the results of two hot line presentation all presented at the ESC congress 2023 in Amsterdam, the Netherlands. First, Prof. Kaski shares highlights from the new and first ESC cardiomyopathy guidelines. Second, Prof. van der Meer discusses the results from the STEP HFpEF study in which semaglutide showed beneficial effect on weight, 6MWT and a win ratio compared to placebo in patients with the obesity phenotype of HFpEF. Next, Dr. ter Maaten discusses the results of the first randomized trial investigating the effect of natriuresis guided diuretic therapy in acute heart failure, as already incorporated in the guidelines. Finally, Prof. McDonagh walks us through the update of the ESC heart failure guidelines. The podcast is concluded with a brief discussion of some HFA Young highlights at the congress.
A patient with a referral for cardiac rehabilitation for heart failure is being evaluated by a physical therapist. During the assessment, the clinician uses the 6 Minute Walk Test (6MWT) as a functional outcome measure. Which of the following statements are TRUE regarding the use of the 6MWT? Be prepared for the NPTE so that you can pass with flying colors! Check out www.ptfinalexam.com/podcast for more information and to stay up-to-date with our latest courses and projects.
We discuss the FDA’s approval for the 6MWT (6 Minute Walk Test) as a primary goal of potential Reldesemtiv program for SMA patients. Also, SMA News Today’s Community Editor, Kevin Schaefer, discusses setting specific goals while taking physical therapy. Are you interested in understanding gene therapy? ExploreGeneTherapy.com has helpful information about gene therapy, including its history and how it is being investigated for the treatment of genetic diseases. Visit www.exploregenetherapy.com
Pediatric Physical Therapy - Pediatric Physical Therapy Podcast
01 Effects of Structured Exercise Training in Children and Adolescents with Juvenile Idiopathic Arthritis: A Systematic Review Susan Klepper PT, MS, PhD, former Assistant Professor Rehabilitation & Regenerative Medicine (Physical Therapy), Columbia University, New York, NY The purpose of this review was to update the evidence for safety and efficacy of structured exercise training in a variety of settings for children and adolescents with juvenile idiopathic arthritis. 02 The Timed Up and Go test in children: Does Protocol Choice Matter? A Systematic Review Evi Verbecque PT PhD, Post Doctoral Researcher, University of Hasselt, Limburg, Belgium Results on reliability and normative data for the Timed Up and Go test in children who are are systematically reviewed. 03 Effects of Instruction on Parent Competency during Infant Handling in a Neonatal Intensive Care Unit Eilish M. Byrne PT, DSc, PCS, CNT, Supervisor Physical Therapy Department, Lucile Packard Children's Hospital, Palo Alto, CA The purpose of this study was to investigate the effectiveness of three different methods for delivering instruction on infant handling to parents in the neonatal intensive care unit. 04 Developmental Trajectories and Reference Percentiles for the 6-Minute Walk Test for Children with Cerebral Palsy Alyssa LaForme Fiss PT PhD PCS, Associate Professor, Director of Physical Therapy Research, Mercer University, Atlanta, Georgia The purposes of this study were to: document longitudinal developmental trajectories in 6MWT distances and develop age-specific reference percentiles for children across different Gross Motor Function Classification System levels. 05 Progression of Ankle Plantarflexion Contractures and Functional Decline in DMD: Implications for Physical Therapy Management Michael Kiefer PT DPT, North Worcester, University of Massachusetts MA. Formerly: Pediatric Neuromuscular Unit, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio This study characterizes the progressive loss of ankle dorsiflexion range of motion in boys with Duchenne muscular dystrophy, the relationship to functional decline, and the implications for physical therapy management. 06 Adapted dance improves motor abilities and participation in children with Down syndrome: A pilot study Michelle McGuire, PT MPT, Coordinator, Division of Occupational and Physical Therapy, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio This pilot study measured effects of an adapted dance program on motor abilities and participation in children with Down syndrome and explored caregivers' qualitative feedback regarding its benefits. 07 Moving Toward Excellence in Pediatric Physical Therapy Education: A Scoping Review Deborah K. Anderson PT DPT PCS, Program Director, Physical Therapy, College of Health Sciences, Midwestern Universkity, Downers Grove, IL The purpose of this scoping review was to identify and map current evidence that underpins excellence in pediatric physical therapy education.
Objective: To investigate the effects of a predefined mini-trampoline therapy programme for increasing postural control, mobility and the ability to perform activities of daily living after stroke. Design: Randomized non-blinded controlled pilot study. Setting: Neurological rehabilitation hospital. Subjects: First-time stroke; age 18-80 years; independent standing ability for a minimum of 2 minutes. Intervention: Patients were randomized into two groups: the mini-trampoline group (n = 20) received 10 sessions of balance training using the mini-trampoline over three weeks. The patients of the control group (n =20) participated 10 times in a group balance training also over three weeks. Main measures: Postural control (Berg Balance Scale, BBS), mobility and gait endurance (timed up and go' test, TUG; 6-minute walk test, 6MWT) and the ability to perform activities of daily living (Barthel Index, BI). Measurements were undertaken prior to and after the intervention period. Results: Both groups were comparable before the study. The mini-trampoline group improved significantly more in the BBS (P = 0.003) compared to the control group. Mean or median differences of both groups showed improvements in the TUG 10.12 seconds/7.23 seconds, the 6MWT 135 m/75 m and the BI 20 points/13 points for the mini-trampoline and control group, respectively. These outcome measurements did not differ significantly between the two groups. Conclusion: A predefined mini-trampoline training programme resulted in significantly increased postural control in stroke patients compared to balance training in a group. Although not statistically significant, the mini-trampoline training group showed increased improvement in mobility and activities of daily living. These differences could have been statistically significant if we had investigated more patients (i.e. a total sample of 84 patients for the TUG, 98 patients for the 6MWT, and 186 patients for the BI).
The response characteristics of the 6 minute walk test (6MWT) in studies of idiopathic pulmonary fibrosis (IPF) are only poorly understood, and the change in walk distance that constitutes the minimum important difference (MID) over time is unknown.