Preview

Randomized Controlled Trial

Best Essays
Open Document
Open Document
1564 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Randomized Controlled Trial
Due to the complexities of clinical decision making that a physical therapist has to face everyday, the need to develop good clinical reasoning skill is essential. Although clinical reasoning can be developed through experience, confiding entirely on this, can result in faulty decisions as it can be influenced by biases and heuristics (Crist, McVay & Marocco, 2015). Employing the best, current evidence available to compliment our clinical skills and patient values can promote good patient outcome.
To facilitate successful evidence collection, appraisal, and integration, the first step is to recognize the need for information and develop a focused and searchable clinical question (Crist, McVay & Marocco, 2015). Currently, I provide care to
…show more content…
Systematic Review
Balance Improvement by Strength Training for the
Elderly Randomized Controlled trial (RCT)
Effectiveness of Progressive Resistance Strength Training Versus Traditional Balance Exercise in Improving Balance Among the Elderly - A Randomized Controlled Trial. Randomized Controlled trial (RCT)
Influence of Isokinetic Strength Training of Unilateral Ankle on Ipsilateral One-legged Standing Balance of Adults Randomized Controlled trial (RCT)

The study of Joshua et al. (2013) is the most relevant to answer my clinical question as it has the same characteristics of my patients and the interventions used were realistic to my
…show more content…
and Lunardi, A. (2014). Effectiveness of muscle strengthening and description of protocols for preventing falls in the elderly: a systematic review. Brazilian Journal of Physical Therapy,18(2),111-118 doi: 10.1590/S1413-35552012005000148
Joshua, A., D'Souza, V., Unnikrishnan, B., Mithra, P., Kamath, A., Acharya, V. and Venugopal, A. (2014). Effectiveness of progressive resistance strength training versus traditional balance exercise in improving balance among the elderly - a randomised controlled trial. Journal of Clinical and Diagnostic Research, 8(3), 98–102. doi: 10.7860/JCDR/2014/8217.4119
Lee, I. and Park S. (2013). Balance improvement by strength training for the elderly. Journal of Physical Therapy Science, 25 (12), 1591-1593. doi: 10.1589/jpts.25.1591
Portney, L., and Watkins, M. (2009). Foundation of clinical research application to practice (3rd ed.). Boston, MA: Pearson Education, Inc..
Sung, M.S., Kyung, W.K., Na Kyung, L., Seok, H. N., Jung W.K., and Kyoung, K. (2013). Influence of isokinetic strength training of unilateral ankle on ipsilateral one-legged standing balance of adults. Physical Therapy Science,10, 1313- 1315. doi: 10.1589/jpts.25.1313

Crist, M., McVay, D. & Marocco, S. (2015). Module 4, Week1 tutorial video 2-Evidence-Based Practice II, Utica

You May Also Find These Documents Helpful

  • Powerful Essays

    Prevost, S.S. (2014). Evidence-based practice. In C.C. Burns (Eds.), Professional issues in nursing: challenges and opportunities (3rd ed., pp.18-29). Baltimore, MD. Philadelphia, PA: Lippincott Williams & Wilkins…

    • 1930 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    The article viewed presents the framework, preliminary concurrent validity and interrater credibility for the specific tool. The Balance Evaluation Systems Test, also known as BESTest. The overall goal of this particular study was the development of a clinical balance tool for assessment which focus’ on six separate systems of balance control, so that isolated rehabilitation mapping can be put into place for different balance deficiencies. Sampling subjects and healthy subjects with different balance deficits make up the independent variable.…

    • 1512 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Gait Kiematic Exercises

    • 564 Words
    • 3 Pages

    Twenty five subject (10 males and 15 females) completed all gait kinematics testing and range of motion training. They participate in several sports Basketball, Football, Soccer, Cheerleading and Wrestling. During the gait rehabilitation programs, several therapeutic exercises was conduct to restore joint range of motion, muscle strength, neuromuscular coordination, and gait mechanics have been shown to have clinical success for patients suffering various foot and ankle pathologies. Number thirteen had the foot and ankle affected, whereas twelve had the left side hip and knee lower extremity pain. Twenty five subjects used a standard or kinematic and range of motions quad cane for ambulation. Of the college participating adults, there were 10 males and 15 females with an age range between 18 to 25 years old (range 1-24) 3 times per week, 1 hour per session.…

    • 564 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Muscle Change in People

    • 390 Words
    • 2 Pages

    How can muscles change affect the fall risk in older adults? Normal decline in your muscle…

    • 390 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Executive Summary 2

    • 1178 Words
    • 4 Pages

    Falls are not only limited to hospital settings but home settings as well and according to the Center for Disease Prevention (CDC) in 2010 fall injuries for adults aged 75 and older per 1,000 individuals were 43 (2012). Research conducted globally has not shown a reduction in inpatient falls and the falls amongst patients still pose a great threat to patients. A program designed to eliminate or reduce falls can help patients across the world. There are numerous reasons that contribute to falls such as medications, weakness, disorientation, and environmental factors. The main key in preventing falls is education and appropriate interventions based on the individual patient needs. Designing a inpatient fall program as well as an outpatient home fall program can reduce falls both inpatient and outpatient. The program will target individuals 65 and older who have a history of falls, patients who have diagnosis of dementia, and those who may be experiencing muscle weakness that places them at a…

    • 1178 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Fall Prevention Research

    • 719 Words
    • 3 Pages

    Although the CDC has identified some successful exercise programs for fall prevention, these programs are not widely implemented in the real world. Doctors, physical therapists, nurses, and other healthcare professionals are proficient at identifying the risks commonly associated with falls in older adults, but making the connection between these clear risks and the necessary interventions is a challenge for them. Thus, the actual application of the research is neglected.…

    • 719 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Evidence-Based Practice

    • 3794 Words
    • 16 Pages

    Evidence-based practice (EBP) is an interdisciplinary approach to clinical practice that has been gaining ground following its formal introduction in 1992. It started in medicine as evidence-based medicine (EBM) and spread to other fields such as dentistry, nursing, psychology, education, library and information science and other fields. Its basic principles are that all practical decisions made should 1) be based on research studies and 2) that these research studies are selected and interpreted according to some specific norms characteristic for EBP. Typically such norms disregard theoretical and qualitative studies and consider quantitative studies according to a narrow set of criteria of what counts as evidence. If such a narrow set of…

    • 3794 Words
    • 16 Pages
    Powerful Essays
  • Good Essays

    Fall Risk Assessment

    • 954 Words
    • 4 Pages

    This study will focus on protecting patients from falls and fall-related injuries after stroke. At first I would identify the patients who are at great risk of fall currently and after going back to the community. I will use the Morse Fall Risk Assessment (MFA) to initially identify fall risk patients in my unit. In fact at Acute Rehab Unit all patients are considered to be at high risk of fall, there is no question about stroke patients. CDC’s Injury Center has created a tool kit, called STEADI (Stopping Elderly Accidents Deaths and Injuries). It is an algorithm for a fall risk assessment and interventions, designed for the health care providers to assess the risk of falling among people aged 65 years and older. I…

    • 954 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Fall Prevention

    • 1446 Words
    • 6 Pages

    Falling in adults 65 and older is a complex problem confronting public health, the health care system and families. Statistics alone do not begin to measure the pain, suffering and loss of independence that are experienced by older adults who fall, but a number of trends highlight the magnitude of the problem:…

    • 1446 Words
    • 6 Pages
    Good Essays
  • Good Essays

    Elderly Demographics

    • 789 Words
    • 4 Pages

    Freedman, VA and Martin, LG. 1998. Understanding Trends in Functional Limitations Among Older Americans. American Journal of Public Health. Vol. 88(10): pp. 1457-1462.…

    • 789 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Evidence Based Practice

    • 1300 Words
    • 6 Pages

    The use of evidence based practice in healthcare assist with providing the best and current practice and improving patient outcome (Boswell.c., & Cannob, S. 2012). According to Hopp and Rittenmeyer (2012), evidence based practice is define as the continuous and current use if the best evidence in decision making about the care of each patients. This involves the commbination of each clinical expertise, as well as considering patient choices with the best available external clinical evidence from systematic research. Evidence based practice has enhance and continue to improve the care given to patients in each healthcare, particularly within nursing. The purpose of this study is to outlined and find ways to include evidence based…

    • 1300 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    Fall in Elderly

    • 4939 Words
    • 20 Pages

    11 Atlanta FICSIT Group. (1996). Reducing frailty and falls in older persons: An investigation of Tai Chi and computerized balance training. Journal of American Geriatrics Society, 44, 489–497. Wolf, S. L., Coogler, C., & Xu, T. (1997). Exploring the basis for Tai Chi Chuan as a therapeutic exercise approach. Archives of Physical Medicine & Rehabilitation, 78, 886– 892. Wolf, S.L., Sattin, R. W., Kutner, M. et al. (2003). Intense Tai Chi exercise training and fall occurrences in older, transitionally frail adults: A randomized, controlled trial. Journal of American Geriatrics Society, 51, 1693-1701. Wolfson, L., Whipple, R., Derby, C., Judge, J., King, M. Amerman, P., Schmidt J., & Smyers, D. (1996). Balance and strength training in older adults: intervention gains and Tai Chi maintenance. Journal of American Geriatrics Society, 44, 498-506. Wu, G. (2002). Evaluation of the effectiveness of Tai Chi for improving balance and preventing falls in the older population – A review. Journal of American Geriatrics Society, 50, 746-754. Young, D. R., Appel, L. J., Jee, S. H., & Miller, E. R. (1999). The effects of aerobic exercise and T’ai Chi on blood pressure in older people: Results of a randomized trial. Journal of American Geriatrics Society, 47, 277–284. Yu, T., & Johnson, J. (1999). T’ai Chi fundamentals for health care professionals and instructors: A simplified approach for mastering T’ai Chi basics. Uncharted Country.…

    • 4939 Words
    • 20 Pages
    Powerful Essays
  • Good Essays

    Together, we will restore your body to its preinjury performance. Restoring Strength and Balance Physical Therapy defines the athlete in you, whether you are looking to return to activities of daily living or to performing at an elite…

    • 696 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    The Random error in this experiment was that it was difficult to measure the improvement, or digression of the participants, for both the Balance Test and the Strength Test. The only recorded limitation for this…

    • 414 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Yoga

    • 341 Words
    • 2 Pages

    Chen and et.al (2010) manipulated and measured variables consistently in the study. The purpose of the study is to find out if silver yoga will benefit the transitional frail elders. The outcome measures of physical fitness included body composition, cardiovascular-respiratory functions, body flexibility, muscle power and endurance, balance, and agility. Body…

    • 341 Words
    • 2 Pages
    Good Essays