Publications by authors named "Alaina Newell"
This methodological paper explores the intricacies of implementing evidence-based medicine in the health care sector specifically focusing on the clinical practice guideline (CPG) published by the American Physical Therapy Association's Academy of Oncologic Physical Therapy for diagnosing upper quadrant lymphedema secondary to cancer (diagnosis CPG). Although CPGs are widely available, their implementation into clinical practice remains inconsistent, slow, and complex. To address this challenge, this paper employs the Knowledge-to-Action framework, offering a detailed description of the seven stages through the lens of an in-progress case study on the implementation of the diagnosis CPG.
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- - Complex decongestive therapy is the primary non-surgical treatment for lymphedema, involving manual therapy, compression exercise, skincare, and education, divided into two phases: intensive volume reduction (Phase I) and a long-term maintenance phase (Phase II).
- - The maintenance phase focuses on lifelong control of lymphedema through self-management strategies and ongoing therapies, with compression being the key element for effective self-care.
- - Poor adherence to self-management can worsen lymphedema, highlighting the need for education and monitoring; the editorial outlines essential components for the maintenance phase, such as skin care, infection management, and regular check-ups.
Background: Perceived ability or confidence plays an important role in determining function and behavior. The modified Gait Efficacy Scale (mGES) is a 10-item self-report measure used to assess walking confidence under challenging everyday circumstances.
Objective: The purpose of this study was to determine the reliability, internal consistency, and validity of the mGES as a measure of gait in older adults.