Quality measures for the care of patients with lateral epicondylalgia

Minaya-Muñoz, Francisco; Medina-Mirapeix, Françesc; Valera-Garrido, Fermín

doi:10.1186/1471-2474-14-310

Cited by 6 publications

(5 citation statements)

References 47 publications

(75 reference statements)

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“…After selecting by title and abstract, we reviewed the full text of 102 articles and selected 19 that met our criteria. 18–37 These publications comprised 1 guideline, 19 4 quality of care evaluations, 18 , 22 , 32 , 37 and 14 indicator development articles, 20 , 21 , 23–31 , 33–36 of which only 3 reported feasibility or reliability measurements. 21 , 28 , 34 A total of 200 indicators were obtained, of which 178 were specific clinical care indicators (145 extracted from publications and 33 retrieved from repositories).…”

Section: Resultsmentioning

confidence: 99%

Quality of Care Indicators for Hospital Physical Therapy Units: A Systematic Review

et al. 2021

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Objective The purpose of this review was to identify quality indicators described in the literature that may be used as quality measures in hospital physical therapy units. Methods The following sources were searched for quality indicators or articles: Web of Science, MEDLINE, IBECS, Latin American & Caribbean Health Sciences Literature, Cumulative Index of Nursing and Allied Health, Academic Search Complete, SportDiscus, SciELO, PsychINFO, Consejo Superior de Investigaciones Cientificas, and Scopus databases; the Agency for Healthcare Research and Quality, National Health System Indicator Portal, Joint Commission on Accreditation of Healthcare Organizations, and Organisation for Economic Co-operation and Development websites; and the National Quality Forum’s measures inventory tool. Search terms included “quality indicator,” “quality measure,” “physiotherapy,” and “physical therapy.” Inclusion criteria were articles aimed at measuring the quality of care in hospital physical therapy units written in English, Spanish, French, or Portuguese. Evidence-based indicators with an explicit formula were extracted by 2 independent reviewers and then classified using the structure-process-outcome model, quality domain, and categories defined by a consensus method. Results Of the 176 articles identified, only 19 met the criteria. From these articles and from the indicator repository searches, 178 clinical care indicators were included in the qualitative synthesis and presented in this paper. Process and outcome measures were prevalent, and 5 out of the 6 quality domains were represented. No efficiency measures were identified. Moreover, structure indicators, equity and accessibility indicators, and indicators in the cardiovascular and circulatory, mental health, pediatrics, and intensive care categories were underrepresented. Conclusions A broad selection of quality indicators was identified from international resources, which can be used to measure the quality of physical therapy care in hospital units. Impact This review identified 178 quality-of-care indicators that can be used in clinical practice monitoring and quality improvement of hospital physical therapy units. The results highlight a lack of accessibility, equity, and efficiency measures for physical therapy units.

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Section: Resultsmentioning

confidence: 99%

Quality of Care Indicators for Hospital Physical Therapy Units: A Systematic Review

et al. 2021

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“…Konsantrik ve eksantrik egzersiz, manuel terapi kanıt düzeyi A olan ve kuvvetle önerilen tedavilerdir (30).…”

Section: Lateral Epikondilit (Tenisçi Dirseği)unclassified

“…Eksantrik egzersizlere 6-12 hafta boyunca devam edilir (26). Özellikle dirençle yapılan ve günde iki kez yapılan egzersizlerden sonra kavrama gücünün %66 arttığı, egzersiz yapmayan grupta ise %21 oranında azaldığı bildirilmiş-tir (30). Esnek lastik çubukla (FlexBar) yapılan egzersizler özellikle eksantrik çalışmayı sağlayan alternatif bir yöntemdir (33).…”

Section: Lateral Epikondilit (Tenisçi Dirseği)unclassified

Exercise Prescription in Forearm, Wrist, and Hand Pain

Kuran¹

2014

Turk J Phys Med Rehab

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The forearm, wrist, and hand are the most frequently used body parts during activities of daily life. Hence, injuries are frequently encountered due to widespread use of computers in modern life, inappropriate ergonomics, mechanical loading during manual weight lifts, and inflammatory and neurological causes. Although pharmacological treatments, physical therapy modalities, and surgical interventions in severe cases are considered as treatments, therapeutic exercise, being cheap and preventive, is the mainstay of evidence-based hand therapy. Different categories of exercises are prescribed to provide nutrition of joint surfaces; to lengthen the shortened, painful periarticular tissue; to increase blood circulation; to stimulate joint proprioceptors to increase joint stability; and to improve muscle power and endurance. During the applications, the physical characteristics of the patient and his daily living needs, pain tolerance, and disease stage, etc., should be considered to hit the right target. In this review, frequently encountered forearm, wrist, and hand pathologies and the exercises prescribed in the treatment of these conditions will be discussed. Key Words: Hand exercises, tennis elbow, De Quervain ÖzetÖn kol, el ve el bileği günlük yaşam aktivitelerinin yerine getirilmesi sırasında en sık kullanılan vücut kısımlarındandır. Günümüzde bilgisayarın yaygın olarak kullanılması, bozuk ergonomi, elle kaldırılan ağırlıklara bağlı mekanik yüklenme, çeşitli inflamatuvar ve nörolojik nedenler sonucu yaralanmalarına sık rastlanır. Semptomların ve fonksiyon bozukluğunun giderilmesinde farmakolojik yaklaşımlar, fizik tedavi uygulamaları ve ileri olgularda cerrahi girişimler yer alsa da egzersiz tedavisi basit, ucuz ve koruyucu olması nedeniyle kanıta dayalı el tedavisinin ayrılmaz bir parçasıdır. Eklem yüzeyinin beslenmesi, eklemin çevresinde boyun ağrı nedeniyle kısalmış dokuların uzaması, kan dolaşımının artması, eklem reseptörlerinin uyarılarak stabilitenin artması, kas kuvvetinin ve dayanıklılığının artması amacıyla değişik egzersiz tipleri uygulanır. Egzersiz uygulamaları sırasında kişinin beden özellikleri, günlük yaşam gereksinimleri, ağrı toleransı, hastalığın evresi vb. özelliklerine göre hedefler belirlenmelidir. Bu yazıda sık rastlanan ön kol, el bilek ve el patolojilerinde uygulanan egzersizler ele alınacaktır. S43El ve el bileği hastalıklarında reçete edilen egzersizlerin amacı hastalığı gidermek veya önlemek, fonksiyonu arttırmak, yaralanma riskini azaltmak ve kişinin genel sağlığına katkıda bulunmaktır. Bu amaçla verilen hareketler veya pozisyonlandırmalar bazı parametrelere ve sonuç ölçeklerine göre değerlendirilirler. Diğer patolojilerde olduğu gibi, el-el bileği hastalıklarında da terapötik egzersiz reçete ederken hastanın tanısı, yaşı, birlikte olan diğer hastalıkları, kullandığı ilaçlar, ağrı toleransı, dominant eli, ev veya işyerinde yapamadıkları, yeti yitimi olup olmadığı sorgulanmalı-dır. Hastalığın hangi evrede (akut/subakut/kronik) olduğu, dalgalanmalar gösterip göstermediği, yar...

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“…Consensus among different clinicians and medical professionals involved in examination, education, and treatment seems an important prerequisite for effective management of TE. 21 Therefore, the aim of this review is to give an overview of the multidisciplinary treatment of TE and to improve pain and with special attention to imaging, functional recovery, including sporting activities and work.…”

Section: Introductionmentioning

confidence: 99%

“…Consensus among different clinicians and medical professionals involved in examination, education, and treatment seems an important prerequisite for effective management of TE. 21…”

Section: Introductionmentioning

confidence: 99%