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Objective: To evaluate the outcome of men with muscle spastic chronic pelvic pain syndrome (CPPS) who underwent a comprehensive five-session fascial connectivity based external myofascial mobilisation (EMM) approach. Patients and methods: A retrospective chart review of patients who underwent EMM for CPPS at the Pelvic Pain Unit of Hamad Medical Corporation, Qatar between January 2019 and October 2020 was conducted. Patient's symptoms were measured with the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) scale and the numerical rating scale (NRS) before and after the completion of the sessions. The patients were given five EMM sessions as a 'once-a-week' programme. Results: A total of 31 patients who completed all the EMM sessions were included. The mean (range) age of patients was 38 (20-54) years. The mean (SD) NIH-CPSI score at initial evaluation was 29.41 (8.3) and decreased to 9.14 (3.45) after the fifth visit. All the patients in the study group had a reduction of >6 points in the NIH-CPSI score, indicating a robust treatment response. The NRS reading also revealed significant improvement in pain (P < 0.001). Conclusions: : An EMM approach based on fascial connectivity led to significant symptom improvement in all the studied patients. EMM may be an effective treatment option for muscle spastic type of CPPS. Future high-quality studies with control groups are needed to confirm the present findings. Durability and long-term results are yet to be determined.

This document outlines best practice recommendations for acute care physiotherapy for patients with COVID-19, with an emphasis on critical care rehabilitation, including patients on extracorporeal membrane oxygenation support. These recommendations were developed for practice in Qatar but are adaptable to any setting. This recommendation is the result of a combination of systematic evidence searches, subsequent critical evaluation of the retrieved evidence and a consensus process. The agreed recommendations were integrated into a physiotherapeutic clinical reasoning algorithm. It includes recommendations on physiotherapy referrals, screening, management categories and best practice recommendations. It is intended for use by physiotherapists and other relevant stakeholders, in acute care settings, for adult patients with suspected or confirmed COVID-19.

This audit provides an initial picture of the current adherence of physical therapy assessment and management with the stroke physical therapy guideline at a tertiary rehabilitation hospital in the state of Qatar. An evaluation of the guideline adherence and practice variations helps to fine tune the physical therapy care to a highest possible standard of practice. Implications for Rehabilitation  • An evaluation of the guideline adherence and practice variations helps to fine tune the rehabilitation care to the highest possible standard of practice.     • Proper assessments of the relationship between the process of rehabilitation care and outcomes with a comprehensive set of process indicators will improve the quality of the care.     • An agreement needs to be established between rehabilitation teams engage in interdisciplinary stroke care regarding the shared responsibilities and team functioning.     • It is recommendable to develop a specialty based clinical practice guidelines that can be aligned at a higher 'comprehensive rehabilitation level' to provide the best possible and evidence based stroke care.

Novel coronavirus (COVID-19) has spread rapidly, forcing changes to health care systems across the globe. COVID-19 outbreak in Qatar has led to the application of preventive measures and cutting of face-to-face outpatient services across Hamad Medical Corporation, the main provider of primary and tertiary health care, aiming to reduce the risk of transmission. The disruption of face-to-face management of patients with cancer and primary lymphedema added to the lack of literature, specifically on its rehabilitation, during such unprecedented crisis and raised the need to quickly modulate our lymphedema outpatient physiotherapy services to ensure the continuity of care. This article describes how our team redesigned its lymphedema management approach through rapid development of online educational treatment resources and implementation of telerehabilitation to patients with lymphedema for the first time in Qatar. Unforeseen challenges were addressed in a 4-phased plan comprising operational, telephonic, virtual, and face-to-face phases, with a descriptive statistical analysis of data and the outpatient activity recorded throughout the phases. Evaluating the efficacy of such program in future research may open up windows for telerehabilitation to become a Rehabilitation Oncology