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  1. Article ; Online: THE LINDA CRANE MEMORIAL LECTURE: The Patient Puzzle: Piecing it Together.

    Massery, Mary

    Cardiopulmonary physical therapy journal

    2008  Volume 20, Issue 2, Page(s) 19–27

    Language English
    Publishing date 2008-05-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2561970-6
    ISSN 2374-8907 ; 2374-8907
    ISSN (online) 2374-8907
    ISSN 2374-8907
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Musculoskeletal and neuromuscular interventions: a physical approach to cystic fibrosis.

    Massery, Mary

    Journal of the Royal Society of Medicine

    2005  Volume 98 Suppl 45, Page(s) 55–66

    Abstract: Children with CF are living longer than ever before, and thus issues pertaining to quality of life rather than just longevity of life need to be addressed by the entire healthcare team. This article addressed the issues pertaining to the external support ...

    Abstract Children with CF are living longer than ever before, and thus issues pertaining to quality of life rather than just longevity of life need to be addressed by the entire healthcare team. This article addressed the issues pertaining to the external support of the dysfunctional internal organs: the secondary musculoskeletal (postural) and neuromuscular control deficits that occur to the maturing child with CF. The research pointed towards starting PT interventions for these deficits during the pre-pubescent phase when postural deficits were just emerging, but a suggestion was also made to explore whether these deficits can be even more effectively monitored and treated at an earlier age. The dual relationship between the muscles used to meet the increased respiratory demands of CF and the normal postural demands of physical activities was described through a model based on a soda-pop can and pressure support. A pre-pubescent child with a typical progression of CF was presented as a case report to illustrate how a PT programme that was focused on postural deficits could be implemented and what type of outcomes might be possible. The child made significant changes within a relatively short time frame of 4 months, proposing that the musculoskeletal and neuromuscular systems may play a significant role in the medical and physical long-term outcomes of CF. For that reason, the physical as well as medical needs of the patient should be incorporated into a comprehensive multi-system approach to the disease across the lifespan.
    MeSH term(s) Adolescent ; Adult ; Child ; Cystic Fibrosis/complications ; Cystic Fibrosis/therapy ; Female ; Humans ; Male ; Musculoskeletal Diseases/etiology ; Musculoskeletal Diseases/therapy ; Neuromuscular Diseases/etiology ; Neuromuscular Diseases/therapy ; Physical Therapy Modalities
    Language English
    Publishing date 2005
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 6731-3
    ISSN 1758-1095 ; 0141-0768 ; 0035-9157
    ISSN (online) 1758-1095
    ISSN 0141-0768 ; 0035-9157
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Do abdominal cutouts in thoracolumbosacral orthoses increase pulmonary function?

    Frownfelter, Donna / Stevens, Karen / Massery, Mary / Bernardoni, Gene

    Clinical orthopaedics and related research

    2013  Volume 472, Issue 2, Page(s) 720–726

    Abstract: Background: Thoracolumbosacral orthoses (TLSOs) are effective in their intended purpose of limiting spinal movement but tend to restrict rib cage and abdominal motion. Incorporating an abdominal cutout, allowing abdominal excursion, may reduce the ... ...

    Abstract Background: Thoracolumbosacral orthoses (TLSOs) are effective in their intended purpose of limiting spinal movement but tend to restrict rib cage and abdominal motion. Incorporating an abdominal cutout, allowing abdominal excursion, may reduce the restraint on abdominal expansion associated with inhalation and thereby reduce pulmonary compromise.
    Questions/purposes: (1) For healthy adults, does a TLSO restrict pulmonary function at rest and after exercise compared with no TLSO (control)? (2) At rest, is pulmonary function increased by adding an abdominal cutout to the TLSO (open) compared with a traditional closed TLSO (no abdominal cutout)? (3) Are those results similar after exercise?
    Methods: Twenty healthy adults wore a custom-molded TLSO with a reattachable abdominal cutout. Forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) were recorded at rest and after exercise in three conditions: (1) no TLSO (control); (2) TLSO (closed); and (3) TLSO (open).
    Results: Wearing a TLSO (closed or open) reduced FVC and FEV1 similarly at rest (p < 0.001) and after exercise (p < 0.001) compared with controls. Adding an abdominal cutout (open) to the TLSO increased FVC at rest (95% confidence interval [CI], 3.79-4.76; p = 0.007) and postexercise (95% CI, 3.80-4.73; p = 0.025) compared with the closed TLSO, and FEV1 increased postexercise (95% CI, 3.01-3.76; p = 0.02) but not at rest (95% CI, 2.96-3.73; p = 0.053).
    Conclusions: TLSOs restrict pulmonary function in healthy adults. An abdominal cutout in the TLSO increased pulmonary function, especially with activity, suggesting that cutouts should be considered when fabricating TLSOs for individuals with compromised breathing such as with neuromuscular disorders, scoliosis, or spine surgery.
    MeSH term(s) Abdomen/physiology ; Adult ; Biomechanical Phenomena ; Braces/adverse effects ; Chicago ; Equipment Design ; Exercise ; Forced Expiratory Volume ; Healthy Volunteers ; Humans ; Inhalation ; Lumbar Vertebrae/physiology ; Lung/physiology ; Middle Aged ; Multivariate Analysis ; Rest ; Sacrum/physiology ; Thoracic Vertebrae/physiology ; Vital Capacity ; Young Adult
    Language English
    Publishing date 2013-09-14
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Randomized Controlled Trial
    ZDB-ID 80301-7
    ISSN 1528-1132 ; 0009-921X
    ISSN (online) 1528-1132
    ISSN 0009-921X
    DOI 10.1007/s11999-013-3281-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Commentary on "Expiratory flow increase technique and acid esophageal exposure in infants born preterm with bronchopulmonary dysplasia".

    Mary, Massery / Sweeney, Jane K

    Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association

    2011  Volume 23, Issue 4, Page(s) 333–334

    MeSH term(s) Bronchopulmonary Dysplasia/complications ; Female ; Gastroesophageal Reflux/etiology ; Humans ; Infant, Premature ; Male ; Physical Therapy Modalities/adverse effects ; Pulmonary Ventilation
    Language English
    Publishing date 2011
    Publishing country United States
    Document type Comment ; Journal Article
    ZDB-ID 1036679-9
    ISSN 1538-005X ; 0898-5669
    ISSN (online) 1538-005X
    ISSN 0898-5669
    DOI 10.1097/PEP.0b013e31823711e6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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