The Acute Care Physical Therapy HIV/AIDS Patient Population

Kinirons, Stacy A.; Do, Sandy

doi:10.1177/2325957413476552

Cited by 8 publications

(4 citation statements)

References 49 publications

(109 reference statements)

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“…Physical impairments resulting from HIV include chronic pain, joint stiffness, and muscle weakness [ 59 ]. However, the number of HIV patients receiving physical therapy is much lower than the number who report dealing with physical limitations [ 80 ]. In addition, the fluctuating, episodic nature of HIV can pose additional complications in the day-to-day performance of the patient [ 81 ].…”

Section: Neurologic Injury In Hivmentioning

confidence: 99%

Designing robot-assisted neurorehabilitation strategies for people with both HIV and stroke

Bui

Johnson

2018

J NeuroEngineering Rehabil

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There is increasing evidence that HIV is an independent risk factor for stroke, resulting in an emerging population of people living with both HIV and stroke all over the world. However, neurorehabilitation strategies for the HIV-stroke population are distinctly lacking, which poses an enormous global health challenge. In order to address this gap, a better understanding of the HIV-stroke population is needed, as well as potential approaches to design effective neurorehabilitation strategies for this population. This review goes into the mechanisms, manifestations, and treatment options of neurologic injury in stroke and HIV, the additional challenges posed by the HIV-stroke population, and rehabilitation engineering approaches for both high and low resource areas. The aim of this review is to connect the underlying neurologic properties in both HIV and stroke to rehabilitation engineering. It reviews what is currently known about the association between HIV and stroke and gaps in current treatment strategies for the HIV-stroke population. We highlight relevant current areas of research that can help advance neurorehabilitation strategies specifically for the HIV-stroke population. We then explore how robot-assisted rehabilitation combined with community-based rehabilitation could be used as a potential approach to meet the challenges posed by the HIV-stroke population. We include some of our own work exploring a community-based robotic rehabilitation exercise system. The most relevant strategies will be ones that not only take into account the individual status of the patient but also the cultural and economic considerations of their respective environment.

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Section: Neurologic Injury In Hivmentioning

confidence: 99%

Designing robot-assisted neurorehabilitation strategies for people with both HIV and stroke

Bui

Johnson

2018

J NeuroEngineering Rehabil

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“…The scope of physiotherapy practice in the rehabilitation of PLWH in the ART era is progressively being understood by physiotherapists in LMICs. [5,6] Randomised controlled trials in Southern Africa have proved the efficacy of physiotherapy on pain management, cardio-pulmonary fitness, strength, and QoL in PLWH. [7,8] However, the role of physiotherapy in health promotion and prevention in PLWH is not well understood.…”

Section: Introductionmentioning

confidence: 99%

Physiotherapists’ Awareness of Risk of Bone Demineralisation and Falls in People Living with HIV and their Perceptions about Fall Risk Management: A Qualitative Study

Charumbira¹,

Berner²,

Louw³

2020

Preprint

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Background: Recent research has indicated a seemingly increased propensity for both falls and accelerated bone loss in people living with HIV (PLWH). Physiotherapists play a crucial role in optimising function and quality of life of PLWH through prevention of falls and reducing the harm that results. Aim: This study aimed to explore physiotherapists’ awareness of falls risk and accelerated bone demineralisation in PLWH and their perceptions about current falls prevention in the care of PLWH in selected regions of sub-Saharan Africa. Method: An interpretative exploratory qualitative research method with a phenomenological approach was employed to explore physiotherapists’ perceptions and experiences regarding bone health and falls in PLWH. In-depth semi-structured telephonic interviews were used to collect data from 21 physiotherapists working in primary HIV care. Transcribed interview data were coded in Atlas.ti.8 ® and analysed using inductive thematic analysis. Results: The primary study revealed a lack of awareness by physiotherapists of falls risk and bone demineralisation in PLWH. As such, physiotherapists did not link falls or fractures to HIV or antiretroviral therapy (ART) when they did observe such events during their general patient assessments. However, in retrospect, some physiotherapists were able to recognise risk factors linked to falls in those with HIV. Current services for falls prevention, as perceived by the physiotherapists, were sub-optimal. Conclusion: Physiotherapists may need to be more aware of the potential risk of falls and bone demineralisation in PLWH and routinely assess for these phenomena in both older and younger PLWH. Key words: Accidental falls, Bone mineral density, HIV, physiotherapists, sub-Saharan Africa

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“…In terms of maintaining physical and functional capacity, the physiotherapy becomes relevant for restoring mobility and function (8). However, the physiotherapist role in health promotion in infected individuals is still not recognized (9). Nowadays, there is a search for better opportunities and treatment conditions to ensure quality of life of these individuals.…”

Section: Introductionmentioning

confidence: 99%

Symptomatic profile of infected individuals with HIV/AIDS in a physiotherapy department

2017

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Introduction Changes in the profile of infected individuals with HIV and the chronicity of this condition become necessary a better understanding about the clinical changes caused by the disease. Objective This study characterizes the physical symptoms of infected individuals with HIV in a physiotherapy department of a specialized HIV treatment center. Methods A descriptive study with quantitative analysis was performed. All registered users in the physiotherapy department (138 individuals) from 2009 to 2013 were included. Data analysis considered absolute and relative frequencies of the variables of interest. Results Most patients were female (55%) and the mean age was 35.0 years (± 16.8). Most users were usingantiretroviral therapy and had 4 to 10 years (51.8%) of the HIV diagnosis. Many patients have comorbidities and the most prevalent was cerebral toxoplasmosis. The most common physical complaints were hemiparesis, pain, alteration in muscle tone and lipodystrophy. Conclusion According the symptomatic profile found, expanding the role of physiotherapists for infected individuals with HIV is necessary, since the physiotherapy has a wide range of preventive and therapeutic interventions that can increase functionality, independence level and social participation.

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The Acute Care Physical Therapy HIV/AIDS Patient Population

Cited by 8 publications

References 49 publications

Designing robot-assisted neurorehabilitation strategies for people with both HIV and stroke

Designing robot-assisted neurorehabilitation strategies for people with both HIV and stroke

Physiotherapists’ Awareness of Risk of Bone Demineralisation and Falls in People Living with HIV and their Perceptions about Fall Risk Management: A Qualitative Study

Symptomatic profile of infected individuals with HIV/AIDS in a physiotherapy department

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