Stakeholder acceptance of digital team-based learning.

Team-Based Learning (TBL) can be associated with administrative processes that are labour intensive. A commercially-available online system offered an opportunity to reduce this burden. The aims of this study were to test the feasibility of integrating digital TBL into health curricula, and to explore the experiences and perspectives of students and educators participating in digital TBL.

Developing professional attributes in critical care nurses using Team-Based Learning.

Australian nurses prepare for specialty practice by undertaking postgraduate theoretical and clinical education in partnership models between universities and hospitals. In our global healthcare system, nurses require advanced critical thinking and strong communication skills to provide safe, high quality patient care. Yet, few education programs focus on developing these skills.

Evaluation of postgraduate critical care nursing students' attitudes to, and engagement with, Team-Based Learning: a descriptive study.

Objective: The aim of this study was to evaluate postgraduate critical care nursing students' attitudes to, and engagement with, Team-Based Learning (TBL).

Research Methodology/design: A descriptive pre and post interventional design was used. Study data were collected by surveys and observation.

The test-retest reliability and concurrent validity of the Subjective Complaints Questionnaire for low back pain.

Physiotherapists commonly record detailed patient information regarding subjective complaints for low back pain (LBP), particularly to assist in the process of classifying patients into specific subgroups. A self-administered Subjective Complaints Questionnaire for LBP (SCQ-LBP) measuring such information was developed for the purposes of future clinical research, particularly in the area of LBP classification. The development comprised literature review, feedback from experienced physiotherapists and pilot questionnaire testing in a patient population.

The middle layer of lumbar fascia and attachments to lumbar transverse processes: implications for segmental control and fracture.

The anatomy of the middle layer of lumbar fascia (MLF) is of biomechanical interest and potential clinical relevance, yet it has been inconsistently described. Avulsion fractures of the lumbar transverse processes (LxTP's) are traditionally attributed to traction from psoas major or quadratus lumborum (QL), rather than transversus abdominis (TrA) acting via the MLF. This attachment is also absent from many biomechanical models of segmental control.

Postural activity of the abdominal muscles varies between regions of these muscles and between body positions.

The abdominal muscles have an important role in control and movement of the lumbar spine and pelvis. Given there is new evidence of morphological and functional differences between distinct anatomical regions of the abdominal muscles, this study investigated whether there are regional differences in postural activity of these muscles and whether recruitment varies between different body positions. Eleven subjects with no history of low back pain that affected function or for which they sought treatment participated in the study.

Clinical tests of musculoskeletal dysfunction in the diagnosis of cervicogenic headache.

Persistent intermittent headache is a common disorder and is often accompanied by neck aching or stiffness, which could infer a cervical contribution to headache. However, the incidence of cervicogenic headache is estimated to be 14-18% of all chronic headaches, highlighting the need for clear criterion of cervical musculoskeletal impairment to identify cervicogenic headache sufferers who may benefit from treatments such as manual therapy. This study examined the presence of cervical musculoskeletal impairment in 77 subjects, 27 with cervicogenic headache, 25 with migraine with aura and 25 control subjects.

Abdominal muscle recruitment during a range of voluntary exercises.

Various exercises are used to retrain the abdominal muscles in the management of low back pain and other musculoskeletal disorders. However, few studies have directly investigated the activity of all the abdominal muscles or the recruitment of regions of the abdominal muscles during these manoeuvres. This study examined the activity of different regions of transversus abdominis (TrA), obliquus internus (OI) and externus abdominis (OE), and rectus abdominis (RA), and movement of the lumbar spine, pelvis and abdomen during inward movement of the lower abdominal wall, abdominal bracing, pelvic tilting, and inward movement of the lower and upper abdominal wall.

A new clinical outcome measure of glenohumeral joint instability: the MISS questionnaire.

Many standard shoulder outcome measures do not adequately cover the range of problems and issues specifically encountered in glenohumeral joint instability and have been shown not to be sensitive enough to detect clinical change with intervention adequately. The purpose of this report is to present a prospective evaluation of a new self-administered patient questionnaire specifically designed to assess glenohumeral joint instability. The evaluation involved test-retest reliability and comparison with the Shoulder Rating Questionnaire (SRQ).

Regional morphology of the transversus abdominis and obliquus internus and externus abdominis muscles.

Background: The mechanisms by which the abdominal muscles move and control the lumbosacral spine are not clearly understood. Descriptions of abdominal morphology are also conflicting and the regional anatomy of these muscles has not been comprehensively examined. The aim of this study was to investigate the morphology of regions of transversus abdominis and obliquus internus and externus abdominis.

Measures of muscle and joint performance in the lower limb of children with cerebral palsy.

The aim of this study was to determine the reliability and magnitude of error of three lower-limb clinical measures for children with cerebral palsy (CP): the Modified Ashworth Scale of Spasticity (MAS), passive range of movement (PROM) and the modified Tardieu scale (MTS). Six physiotherapists measured 11 females and seven males (mean age 6 years 4 months, SD 2 years 4 months; age range 2 years 4 months to 10 years) on two occasions using a repeated measures design, collecting all data over 6 days. The severity of CP spanned all five levels of the Gross Motor Function Classification System and all children demonstrated varying degrees of spasticity.

Does removal of deep breathing exercises from a physiotherapy program including pre-operative education and early mobilisation after cardiac surgery alter patient outcomes?

The aim of this study was to establish whether removal of breathing exercises from a regimen including early mobilisation changes the incidence of post-operative pulmonary complications for patients after cardiac surgery. Two hundred and thirty patients undergoing open heart surgery at Monash Medical Centre, Melbourne, were enrolled in this randomised controlled trial. All patients received physiotherapy treatment pre-operatively and post-operatively for three days.

Chest physiotherapy in infants with cystic fibrosis: to tip or not? A five-year study.

There is controversy about the need for postural drainage physiotherapy in asymptomatic infants with cystic fibrosis (CF). We aimed to compare the effectiveness of standard postural drainage chest physiotherapy (SPT) with a modified physiotherapy regimen without head-down tilt (MPT) in young infants with CF. Twenty newly diagnosed infants with CF (mean age, 2.

The experience of back pain in young Australians.

The usual activity level and history of low back pain was determined by questionnaire in 614 young Australians (9-27 years); dancers (25%), gymnasts (5%) and a control group who did not participate in dance or gymnastics for > or =6 hours/week during the previous three months (70%). These groups demonstrated significantly different activity levels (dancers >gymnasts >controls). Of all respondents, 34% experienced pain of more than two days duration in the previous year, and 50% in all previous years.

Potential acuity meter results in cataract patients.

Purpose: To determine the ability of the potential acuity meter (PAM) to predict potential visual acuity through lenticular opacities in a group of cataract patients without significant other ocular pathology.

Methods: This prospective study undertook PAM measurements on each eye of 84 subjects during preoperative hospital visits to either A Scan or Primary Care clinics. PAM results were compared to best corrected visual acuity findings obtained at least 6 weeks post-cataract extraction.

Frozen shoulder: a 12-month clinical outcome trial.

A prospective study was undertaken of 73 patients with frozen shoulder syndrome who were treated with an arthroscopic capsulotomy. All of the patients were assessed for pain, function, and range of motion before surgery and were monitored through to 1-year follow up. Improvement in all parameters was achieved, with pain taking an average of 2.

The Melbourne Acuity Screening Test (MAST).

The Melbourne Acuity Screening Test (MAST) is a vision screening technique which combines the features of a linear presentation, incorporating a crowding effect with a pass/fail test protocol. It is a simple, quick screening test which can be used for both literate and illiterate people. This paper reports on the preliminary results of a comparison of the pass/fail method with that of the measurement of threshold linear acuity.

The effects of knee extensor and flexor muscle training on the timed-up-and-go test in individuals with rheumatoid arthritis.

Background And Purpose: Rheumatoid arthritis frequently results in functional impairment. This study investigated the effect of a specific exercise regimen on function.

Method: A randomized controlled assessor-blinded (N = 36) compared the effect of knee extensor and flexor muscle training on pain, the timed up and go (TUG) test and the Health Assessment Questionnaire in subjects with non-acute rheumatoid arthritis.

A new approach to visual acuity screening for pre-school children.

The Melbourne Initial Screening Test (MIST) is a vision screening technique which combines the features of an established procedure, the five-letter Sheridan Gardiner Single (SGS) test, with a pass/fail method of assessment. It is a simple screening test for children aged 3.5-4.

Inter-therapist reliability in locating latent myofascial trigger points using palpation.

SUMMARY. Myofascial trigger points (TPs) are sites in muscle or fascia which are tender to palpate and are located in a taut band of tissue. The significance of TPs is underlined by claims that treatment applied to TPs can be effective in treating pain.

Influence of diurnal variation on the intraocular pressure measurement of treated primary open-angle glaucoma during office hours.

Purpose: Intraocular pressure has been shown in past studies to vary diurnally. The purpose of this study was to establish whether patients treated with timolol maleate for primary open-angle glaucoma should be reviewed at a specific time of day, within normal clinical hours (9 a.m.

Anorexia nervosa and the psychotherapeutic hospital.

This paper illustrates psychoanalytically oriented psychotherapeutic work with persons suffering from severe anorexia nervosa who reside in a psychotherapeutic hospital. Anorexia nervosa in its more drastic forms is here viewed as a circumscribed or "spot" manifestation of borderline and schizophrenic pathology; thus these observations also fall within the framework of the psychotherapeutically committed hospital treatment of a wider range of other severe disorders. An exposition of the following elements is included: (1) individual psychoanalytically informed therapy in a therapeutically conceived milieu; (2) firm encouragement to gain weight and modify vomiting by collaborative and voluntary means, if possible, with emphasis on clarifying the contractual boundaries of responsibility; (3) encouragement of the therapeutic alliance and deemphasis of a static symptom-centered approach; (4) coordinated nursing, medical, laboratory, and dietary staffs in an integrative "holding environment;" (5) limited use of pharmacotherapy, with attention focused consistently on the interactional meanings of prescribed medication; (6) physical separation of patient from family.