Jordan Barbra P. Nava, M. E. Dela Cruz, Elwyn Miguel E. Banares, Enrico Noel A. Barrios, Sophia Jeanne A. Delos Reyes, Rennielle Pearl P. Hernandez, Alex Gabrielle M. Macatangay, Rikki Miguel B. Mariano, Coleen C. Rutines, Jose Emmanuel C. Timbang
{"title":"EXPLORING THE EXPERIENCES OF PHYSICAL THERAPISTS ON ASSESSMENT AND MANAGEMENT OF PELVIC FLOOR DISORDERS AMONG WOMEN IN REHABILITATION CENTERS IN METRO MANILA: A QUALITATIVE DESCRIPTIVE STUDY","authors":"Jordan Barbra P. Nava, M. E. Dela Cruz, Elwyn Miguel E. Banares, Enrico Noel A. Barrios, Sophia Jeanne A. Delos Reyes, Rennielle Pearl P. Hernandez, Alex Gabrielle M. Macatangay, Rikki Miguel B. Mariano, Coleen C. Rutines, Jose Emmanuel C. Timbang","doi":"10.46409/002.cjbk3058","DOIUrl":"https://doi.org/10.46409/002.cjbk3058","url":null,"abstract":"Introduction: The study aimed to explore Physical Therapists’ experiences in assessing and managing women with pelvic floor disorders from selected rehabilitation centers in Metro Manila.\u0000\u0000Methods: This qualitative descriptive study used purposive sampling to recruit Physical Therapists who have managed pelvic floor disorders and have at least two years of working experience in rehabilitation centers in Metro Manila. The researchers conducted in-depth, semi-structured individual interviews using an interview guide approved by a women’s health Physical Therapist. A pilot study, which identifies potential problems before the implementation, included one participant, while five were included in the main study. Finalized transcription underwent coding analysis using the Taguette online software. \u0000\u0000Results: Pelvic floor disorders are infrequently diagnosed as standalone conditions, often presenting as incidental findings and frequently co-occurring with other health issues, particularly postsurgical cases. Observational assessments, including urinary habits and internal examinations, play a role in diagnosis. Treatment strategies involve individualized exercise programs and interventions addressing pelvic floor weaknesses, including Kegel and core strengthening exercises. However, there are limited direct pelvic floor disorder referrals from physicians. \u0000\u0000Discussion: Pelvic floor rehabilitation in the Philippines is in its early stages, with ongoing efforts to establish guidelines, training, and seminars. The advancement of the practice will be beneficial in giving patients a thorough assessment and individualized treatment plan. The lack of knowledge about pelvic floor disorders and rehabilitation among patients or even healthcare professionals is one of the primary reasons why the practice is still uncommon. Patient hesitancy and stigma around pelvic floor disorder treatment pose challenges, as patients may not receive the help they need. To enhance the practice, increasing public awareness and professional training are vital. Moreover, the widespread use of social media can be done to obtain information about the practice and to educate the public about pelvic floor disorders.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"35 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140457238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jon Timothy M. Rivero, Marianne Joy Naria-Maritana, M. A. Gelisanga
{"title":"BEYOND LIMITS: SIX YEARS OF COMMUNITY-BASED PALLIATIVE CARE EFFORTS FOR A CHILD WITH SPINAL MUSCULAR ATROPHY (SMA) TYPE-1","authors":"Jon Timothy M. Rivero, Marianne Joy Naria-Maritana, M. A. Gelisanga","doi":"10.46409/002.xqfy9010","DOIUrl":"https://doi.org/10.46409/002.xqfy9010","url":null,"abstract":"Purpose: Spinal Muscular Atrophy (SMA) is a rare neuromuscular disease that results in muscle weakness and atrophy, where symptoms appear at the first six months of life and most die by two years. Pediatric palliative care (PPC) prevents and relieves suffering in children with life-threatening illnesses. The study aims to enumerate the challenges encountered in rendering PPC for a child with SMA Type I and describe the best available community-based PPC practices in a resource-limited country. \u0000\u0000Case Description: CM was referred to community-based PPC when she was 15 months old. At that time, she needed respiratory aid via ventilator through tracheostomy, feeding aid via percutaneous endoscopic gastrostomy tube, and she was confined to bed. She was taken cared for by the PPC team for six years and nine months delivered through home visits and continued through telemedicine during the pandemic. The care team comprises doctors, nurses, physical therapists, social workers, counselor, and administrative support. \u0000\u0000Outcomes: Upon referral to PPC, examinations were conducted on biological, social, emotional, and spiritual dimensions. Interprofessional goal setting yielded the following consensual goals: Provide adequate control for impairments and optimum nutritional support, assist with family's needs, maintain a sense of peace among family members and care providers, and achieve the best possible quality of life. Interventions were based on the biopsychosocial-spiritual model (BSM) delivered across professions. The care team initiated creative ways to convert limited resources to optimum PPC. Throughout the provision of best available care to CM, the set goals were generally achieved, with positive feedback from the family and the benefit of surpassing the patient’s life expectancy.\u0000\u0000Conclusion: Children with conditions like SMA-Type 1 and their families may benefit from PPC employing a BSM approach.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"221 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140457324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marc Edward A. Garrido, Luis Navarra, Jason Advincula, Mary Ferlyn Gacutan
{"title":"TELEREHABILITATION INTERVENTION PROTOCOLS FOR COVID-19 PATIENTS: A SCOPING\u0000REVIEW","authors":"Marc Edward A. Garrido, Luis Navarra, Jason Advincula, Mary Ferlyn Gacutan","doi":"10.46409/002.igjd1866","DOIUrl":"https://doi.org/10.46409/002.igjd1866","url":null,"abstract":"Introduction: Since the start of the pandemic, it became clear to\u0000physical therapists through emerging studies that there are better\u0000outcomes in managing the symptoms of COVID-19 patients if\u0000they undergo physical therapy; however, face-to-face\u0000rehabilitation of COVID-19 patients placed physical therapists at\u0000risk of cross-infection. To address this issue, the use of\u0000telerehabilitation as a mode of delivery of instruction and patient\u0000monitoring was considered. Recent studies have expressed its\u0000effectiveness; however, there are still no available standardized\u0000protocols for the telerehabilitation of COVID-19 patients. Thus,\u0000this study seeks to conduct a comprehensive search of the\u0000published literature regarding COVID-19 physical therapy\u0000interventions and to map out the current evidence and knowledge\u0000gaps surrounding telerehabilitation protocols for COVID-19\u0000patients.\u0000\u0000Methods: The study has a Scoping Review Design in accordance\u0000with the PRISMA-ScR guidelines. In this study, 939 articles were\u0000found through searching in the following databases with specific\u0000MeSH Terms: PEDRO, PubMed, BioMed Central, & Cochrane\u0000Central. These 939 articles were then screened and assessed for\u0000their eligibility, specifically, to match the inclusion criteria of the\u0000study. Specific details of each of the studies included the\u0000following: Title, Author & Country, Digital Technology Used,\u0000Research Design, Methodology, Intervention/Program, and Key\u0000Findings/Results. Similar details between studies were tallied and\u0000were then compared to their existing forms of literature.\u0000\u0000Results: A total of 9 studies were reviewed after the 939 articles\u0000were screened and similar details were tallied as well. A majority\u0000of the studies were RCTs followed by Systematic Reviews/Meta-\u0000Analysis. The most common interventions used in order were (1)\u0000Strengthening Exercises, (2) Deep Breathing Exercises, and (3)\u0000Aerobic Exercises. The most used telerehabilitation technology\u0000was any internet-connected device that had access to video\u0000conferencing. Four of the studies have shown better outcomes as\u0000a result of telerehabilitation. Gaps in literature, specifically the\u0000lack of studies conducted in developing nations and unevidenced\u0000claims of better cost-effectiveness, were consistent in all studies.\u0000\u0000Discussion: This study was able to map out the available research\u0000and the surrounding protocols conducted through\u0000telerehabilitation for COVID-19 patients. The current literature\u0000shows the most common interventions and outcome measures\u0000used during telerehabilitation and that some patients have become\u0000better as a result of telerehabilitation. The findings can be used as\u0000a basis for creating a telerehabilitation treatment plan and may be\u0000used to systematically compare said studies in turn would create\u0000a standardized protocol for COVID-19 telerehabilitation.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"174 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140457354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}