This quasi-randomized controlled trial aimed to preliminarily compare the effects of knee jointrepositioning acuity between active knee flexion/extension exercises with and without the replication technique of proprioceptive neuromuscular facilitation. The participants were healthy individuals aged 18−25 years. Measurements were taken in a sitting position with blinding. The target knee angle was 45°.Active knee flexion/extension exercises were performed with or without the replication technique for 1min. Subsequently, the active repositioning test of the knee was repeated every 3 min, 10 times. Data of nine participants in each group were collected and analyzed. The group with replication demonstrated apoorer result in the active repositioning test than the group without replication at each time point after the intervention. These findings indicate it would be difficult to prevent sports injuries or improve sports performance of athletes by enhancing the joint position sense of the knee with the replication technique application before a sporting event.
[Purpose] We report a case of nonspecific low back pain treated using the STarT back screening tool and the O’Sullivan Classification System. [Subject] A 30-year-old woman with back pain in the sittingposition and in the middle waist position. The motion test showed motion was likely to be lumbar dominant, and L5 / S1 showed hypermobility and pain. [Method] Classification was performed using stratified care. After that, interventions including motion guidance, lumbar stabilization exercise, and stretching were implemented. [Results] Pain on the Visual Analog Scale improved from 35/100 to 10/100 and the score of the Roland-Morris-Disability Questionnaire reduced to 2/24 from 9/24. [Conclusion] Stratified care, which combines two kinds of methods, was able to perform specific interventions based on symptoms, and was shown to be useful.
There are a variety of continuing professional development (CPD) courses for physiotherapists inthe UK. Postgraduate courses in universities provide systematic education and accept many international students. In order to maintain the quality of healthcare professionals, CPD is required to renew a physiotherapist's registration and to promote careers. The author of this paper entered a master’s degree program to prepare for working in the UK as a professional physiotherapist. This paper is an overview of postgraduate courses and physiotherapy registration in the UK for Japanese physiotherapists.
The number of specialties of physical therapy in the United States has grown over the years. Recently, the performing arts, which includes dance, has been added to the area of specialties in Fellowship for U.S. Physical Therapists. To specialize in dance injuries, physical therapists must continue with specialized education, and orthopedic manual therapy is one of the relevant topics of continuing education courses for them. This article describes physical therapists’ clinical activities and continuing education in manual therapy and dance. The author’s experience as a New York state-licensed physical therapist with a specialty in dance is also introduced.
Recently, Japanese physical therapists have been increasingly studying abroad or contributingto developing counties. However, it is easy to imagine COVID-19 will be a considerable barrier to travel around the world in many aspects. Historically, Japanese physical therapists studied in other counties to develop their profession in Japan. The author not only possesses a physical therapist's license in Japan and in the United States, but was also taught and practiced in both countries. It is my pleasure to contribute to the Japanese physical therapy profession to share the experience. I hope the comparison of education and clinical practices will be beneficial for nurturing potential therapists of the future.
Direct access to physiotherapy is allowed in Australia. Thus, physiotherapy is in a competitive marketplace not only with other physiotherapy clinics, but also with other health care professions. Advancing a unique professional development is the key to differentiating yourself from others in an everchanging market. In this article, the author introduces an example of in-services practiced at private clinics and the career pathway of a physiotherapist who has a special interest in temporomandibular joint disorder, headache and migraine management.