The European Journal of Physiotherapy最新文献

Intra-session test–retest reliability of the Timed “Up & Go” Test when performed by patients with hip fractures 在髋部骨折患者中进行的定时“Up & Go”测试的会话内测试-再测试信度

The European Journal of Physiotherapy Pub Date : 2015-04-03 DOI: 10.3109/21679169.2015.1043579

A. G. H. Faleide, B. Bogen, L. Magnussen

{"title":"Intra-session test–retest reliability of the Timed “Up & Go” Test when performed by patients with hip fractures","authors":"A. G. H. Faleide, B. Bogen, L. Magnussen","doi":"10.3109/21679169.2015.1043579","DOIUrl":"https://doi.org/10.3109/21679169.2015.1043579","url":null,"abstract":"Abstract The aim of this study was to assess the reliability of the Timed “Up & Go” Test (TUG) when performed three times in one session by elderly hip fracture patients. Ninety-two patients in the orthogeriatric unit aged ≥ 65 years old were asked to perform the TUG three times at hospital discharge. Relative and absolute reliability was examined using intra-class correlation coefficients (ICCs) and standard error of measurement (SEM), respectively. The smallest detectable change on an individual level (SDCind) was calculated. Thirty-seven patients completed three trials and were included in the reliability analysis. For each trial, mean performance time became shorter. For TUG trial 2–3 both ICC 1.1 and 3.1 were 0.96 [95% confidence interval (CI) ICC 1.1: 0.78–0.94 and ICC 3.1: 0.92–0.98], indicating no learning effect between these trials. For TUG trial 1–2, ICC 3.1 (0.90, 95% CI: 0.82–0.95) was larger than ICC 1.1 (0.88, 95% CI: 0.78–0.94), indicating a learning effect. The 1.96*SEM was ± 10.22 seconds from TUG trial 1–2 and ± 5.32 seconds from trial 2–3. SDCind was 14.5 seconds and 7.5 seconds for TUG trials 1–2 and 2–3, respectively. In conclusion, in this small study, TUG scores had high intra-session test–retest reliability when three trials were conducted. Only 40.2% of the patients managed to complete all trials. Performing the test twice may be sufficient to provide a reliable TUG measurement in our patient group.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122273645","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}

引用次数: 1

Missing data in physiotherapists’ assessments of children with cerebral palsy 物理治疗师对脑瘫儿童的评估数据缺失

The European Journal of Physiotherapy Pub Date : 2015-04-03 DOI: 10.3109/21679169.2015.1009162

Lena Hedström, E. Brogren Carlberg

{"title":"Missing data in physiotherapists’ assessments of children with cerebral palsy","authors":"Lena Hedström, E. Brogren Carlberg","doi":"10.3109/21679169.2015.1009162","DOIUrl":"https://doi.org/10.3109/21679169.2015.1009162","url":null,"abstract":"Abstract Aims: The aim of this study was to investigate the extent and pattern of internal missing data in physiotherapy assessments of children with cerebral palsy (CP), regarding passive range of motion (PROM) and spasticity (measured using the modified Ashworth scale, MAS). Methodology: Data from 2936 children were included. Extent and pattern of missing data of PROM and MAS were related to Gross Motor Function Classification System (GMFCS) level, CP subtype, age and gender. The material was divided into groups and the proportions of the different variables were compared. Chi-squared statistics were used to assess differences in proportions. Major findings: The extent of missing data of PROM and MAS was small (6.2%). The frequency of missing data of MAS was larger than for PROM and varied according to GMFCS level and age. Principal conclusion: The extent of missing data in this study can be considered small and thus would not influence the generalizability of findings for PROM and MAS. It is, however, advisable to report the degree of missing data, especially if data concern PROM and MAS from children GMFCS level I, GMFCS level III, children from the age group 1–5 years and adolescents aged 13–20 years.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"212 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133231835","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}

引用次数: 2

Task-oriented training and lower limb strengthening to improve balance and function after stroke: A pilot study 任务导向训练和下肢强化以改善中风后的平衡和功能:一项初步研究

The European Journal of Physiotherapy Pub Date : 2015-04-03 DOI: 10.3109/21679169.2015.1028102

Beatriz Fernandes, Maria José Ferreira, F. Batista, I. Evangelista, L. Prates, Joaquim Silveira-Sérgio

{"title":"Task-oriented training and lower limb strengthening to improve balance and function after stroke: A pilot study","authors":"Beatriz Fernandes, Maria José Ferreira, F. Batista, I. Evangelista, L. Prates, Joaquim Silveira-Sérgio","doi":"10.3109/21679169.2015.1028102","DOIUrl":"https://doi.org/10.3109/21679169.2015.1028102","url":null,"abstract":"Abstract This study investigated the effects of task-oriented training and strengthening of the affected lower limb on balance and function in people who have suffered a stroke. Sixteen male adults, with a mean age of 58 (SD 6.3) years, undergoing outpatient physiotherapy less than 1 month after a single stroke in the territory of the middle cerebral artery were recruited. Participants were allocated to one of two groups: the strengthening group (SG) or control group (CG). The main measures used were the Berg Balance Scale (BBS), Barthel Index (BI) and Modified Ashworth Scale (MAS). After 12 weeks of intervention, both groups showed improvements in outcome measures. For BBS, there was a significant difference between groups, with an increase of 26 points in the SG and 11 points in the CG. For BI, the SG improved by 39 points and the CG improved by 22 points. After intervention, the difference between groups was not significant. For MAS, differences were not significant, showing that for both groups intervention programmes did not increase spasticity. In conclusion, physiotherapy intervention for postural control dysfunctions after stroke seems to benefit from strength training of the affected lower limb and the practising functional tasks. A large randomized controlled trial is recommended to further investigate the effects of this intervention.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126934772","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}

引用次数: 6

Time for more focus on co-production/co-creation in physiotherapy research? 是时候更多地关注物理治疗研究中的合作生产/共同创造了?

The European Journal of Physiotherapy Pub Date : 2015-04-03 DOI: 10.3109/21679169.2015.1033909

A. Söderlund

引用次数: 0

Neuroplasticity in action post-stroke: Challenges for physiotherapists 脑卒中后的神经可塑性:物理治疗师面临的挑战

The European Journal of Physiotherapy Pub Date : 2015-04-03 DOI: 10.3109/21679169.2015.1039575

G. Frykberg, R. Vasa

{"title":"Neuroplasticity in action post-stroke: Challenges for physiotherapists","authors":"G. Frykberg, R. Vasa","doi":"10.3109/21679169.2015.1039575","DOIUrl":"https://doi.org/10.3109/21679169.2015.1039575","url":null,"abstract":"Abstract Knowledge regarding neuroplasticity post-stroke is increasingly expanding. In spite of this, only a few physiotherapy interventions have been able to demonstrate effectiveness in achieving recovery of lost sensorimotor control. The aims of this review article are to highlight and discuss challenges for physiotherapists working with patients post-stroke, to question some current assessment methods and treatment approaches, and to pose critical questions indicating a possible new direction for physiotherapists in stroke rehabilitation. Differentiation between recovery and compensation post-stroke is increasingly being emphasized. Implementation of this goal in the clinic is insufficient, with a lack of assessment tools with potential to discriminate between the concepts. Large-scale reviews are performed without considering whether functional gains are achieved through “more effective” compensatory strategies or through recovery. Cortical plasticity in neurorehabilitation research and voluntary control in contemporary treatment methods are in focus. Challenges for physiotherapists in stroke rehabilitation consist of rethinking, including looking upon the body under the influence of gravity, focusing on implicit factors that impact movement control and developing new assessment tools. The introduction of a new assessment and treatment concept aiming at expanding the boundaries of center of mass movements towards the paretic side is proposed. In conclusion, we need to assume our responsibilities and step forward as the experts in movement science that we have the potential to be.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114073066","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}

引用次数: 16

Somatosensory impairments and upper limb function following stroke: Extending the framework guiding neurological physiotherapy 脑卒中后躯体感觉损伤和上肢功能:扩展指导神经物理治疗的框架

The European Journal of Physiotherapy Pub Date : 2015-04-03 DOI: 10.3109/21679169.2015.1031175

B. Normann, Hanne Kristin Fikke, G. K. Øberg

{"title":"Somatosensory impairments and upper limb function following stroke: Extending the framework guiding neurological physiotherapy","authors":"B. Normann, Hanne Kristin Fikke, G. K. Øberg","doi":"10.3109/21679169.2015.1031175","DOIUrl":"https://doi.org/10.3109/21679169.2015.1031175","url":null,"abstract":"Abstract Disturbances in the somatosensory system are common following stroke but are often neglected during the rehabilitation of upper limb function. Physical therapists’ theoretical understanding of the body, including somatosensory capacities, is important for clinical decision making. In this article, we introduce theoretical notions based on phenomenology of the body to provide subjectivity status to the body and argue for the application of this understanding to improve clinical practice. Subjectivity status to the body implies a conception of the body as the centre of experience and expression simultaneously with it being a biological mechanism. Somatosensory modalities are considered as integral aspects of the experiencing and expressing body (the embodied self) and therefore need to be studied as integrated rather than isolated neurophysiological events. These body functions support intentionality, ownership and the sense of being in control of one's own movement to enable interaction with the surroundings and other people. Disturbances of the somatosensory system affect vital aspects of the embodied self, and training in these capacities may strengthen the experiencing and expressing body. We apply this framework to clinical examples and discuss the implications of a deeper understanding of somatosensory disturbances following stroke; we also discuss the potential of this framework to influence clinical decision making to further develop neurological physiotherapy.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117286551","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}

引用次数: 10

Effects of climbing therapy on gait function in children and adolescents with cerebral palsy – A randomized, controlled crossover trial 攀爬疗法对儿童和青少年脑瘫患者步态功能的影响——一项随机对照交叉试验

The European Journal of Physiotherapy Pub Date : 2015-01-02 DOI: 10.3109/21679169.2014.955525

H. Böhm, M. Rammelmayr, L. Döderlein

{"title":"Effects of climbing therapy on gait function in children and adolescents with cerebral palsy – A randomized, controlled crossover trial","authors":"H. Böhm, M. Rammelmayr, L. Döderlein","doi":"10.3109/21679169.2014.955525","DOIUrl":"https://doi.org/10.3109/21679169.2014.955525","url":null,"abstract":"Abstract Climbing therapy combines the challenge of height with strength, flexibility and coordination training. The typical climbing posture with abducted and external rotated hips, extended knees and ankle dorsiflexion might be ideally suited to improve typical intoeing, crouch and equinus gait pathologies in cerebral palsy. Therefore, the objective was to evaluate the effect of climbing therapy on gait function in children and adolescents with cerebral palsy. The study design was a single-blind randomized, controlled crossover trial that was carried out in a school for children with disabilities. Eight pupils with bilateral spastic cerebral palsy, Gross Motor Function Classification System level I–III, aged 7–18 years, participated. Six weeks of climbing therapy were compared with physical therapy of two sessions of 1.5 h per week each. Outcome measures were walking speed, step length, step time, Gait Profile Score, internal hip rotation, knee flexion at initial contact and peak ankle dorsiflexion. The results showed an improvement in walking speed, step length, step time in both therapies. Gait Profile Score, ankle dorsiflexion and knee flexion was improved in physical therapy, whereas it did not improve in climbing therapy. However, the difference between therapies was only significant in knee flexion. In conclusion, the use of climbing therapy instead of physical therapy must be critically discussed, as it may deteriorate crouch gait. Future climbing therapy protocols might be improved including more exercises aiming to strengthen the knee extensors in an upright body posture with extended hips and knees.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115422901","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}

引用次数: 12

Cross-cultural adaptation and validation of the Swedish STarT Back Screening Tool 瑞典STarT Back筛选工具的跨文化适应与验证

The European Journal of Physiotherapy Pub Date : 2015-01-02 DOI: 10.3109/21679169.2014.1003962

C. Betten, Christofer Sandell, Jonathan C Hill, A. Gutke

{"title":"Cross-cultural adaptation and validation of the Swedish STarT Back Screening Tool","authors":"C. Betten, Christofer Sandell, Jonathan C Hill, A. Gutke","doi":"10.3109/21679169.2014.1003962","DOIUrl":"https://doi.org/10.3109/21679169.2014.1003962","url":null,"abstract":"Abstract Objectives: The STarT Back Screening Tool (SBT) is a newly validated questionnaire that identifies modifiable risk factors of poor prognosis in patients with low back pain (LBP). The aim of this study was to cross-culturally adapt the SBT into Swedish and to test its concurrent validity in patients with LBP in primary healthcare. Methods: The SBT was translated according to established guidelines. Concurrent validity was tested on 62 patients by comparing the SBT with the Örebro Musculoskeletal Pain Screening Questionnaire, short form (ÖMPSQ-short). Analysis of correlations between the instruments' total scores and between psychosocial sub-score of SBT and ÖMPSQ-short was performed using Spearman's rank correlation. Results: A translation of the SBT into Swedish required minor semantic adaptation until the final version was acceptable. Correlation between the SBT and the ÖMPSQ-short was large with r = 0.61 (SBT total with ÖMPSQ-short total score) and r = 0.60 (SBT psychosocial subscale with ÖMPSQ-short total score). Conclusion: The original SBT was successfully translated into Swedish. Correlation between the Swedish SBT and ÖMPSQ-short was large. The present study supports the use of the Swedish SBT for further clinical practice and research.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116951167","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}

引用次数: 16

Validation of a submaximal versus a maximal exercise test in obese individuals 在肥胖个体中验证亚最大运动与最大运动试验

The European Journal of Physiotherapy Pub Date : 2015-01-02 DOI: 10.3109/21679169.2014.1003963

A. Wisén, Pan Mao, L. Christiansen, B. Saltin

{"title":"Validation of a submaximal versus a maximal exercise test in obese individuals","authors":"A. Wisén, Pan Mao, L. Christiansen, B. Saltin","doi":"10.3109/21679169.2014.1003963","DOIUrl":"https://doi.org/10.3109/21679169.2014.1003963","url":null,"abstract":"Abstract The purpose of this study was to compare oxygen uptake estimated from submaximal Åstrand tests (VO2est) with measured peak oxygen uptake (VO2peak) from maximal tests, and to compare estimated maximal HR (HRest) with measured HRpeak in obese subjects. Seventy obese subjects performed a maximal exercise test starting with a 4-min period of constant load. VO2peak and HRpeak were measured. VO2est was based on HR at constant load. HRest was calculated by the formula 220 − age. The mean± SD of VO2est 2.05 ± 0.39 l/min (20 ± 5 ml/kg/min) was lower than VO2peak 2.42 ± 0.57 l/min (17 ± 4 ml/kg/min) (p < 0.001, p < 0.001, respectively). The mean difference ± 2SD was − 0.4 ± 1.22 l/min (− 3 ± 10 ml/kg/min) with an uneven distribution of the individual variation. The correlation between the methods was low (r = 0.24, r = 0.38 respectively). The mean± SD of HRest 176 ± 10 bpm was higher than the HRpeak 161 ± 17 bpm (p < 0.001). The mean difference ± 2SD was 15 ± 31.3 bpm with an uneven distribution of the individual variation. The correlation between the methods was low (r = 0.41). The main findings of this study were that estimation of VO2 from the Åstrand test and of HR by the formula 220 − age had low validity in obese subjects. Consequently, direct measurements of HRpeak and VO2peak are recommended for accurate prediction of obese individual's exercise capacity.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116061222","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}

引用次数: 1

Reliability and validity of the Body Awareness Rating Scale (BARS), an observational assessment tool of movement quality 运动质量观察性评估工具——身体意识评定量表(BARS)的信度和效度

The European Journal of Physiotherapy Pub Date : 2015-01-02 DOI: 10.3109/21679169.2014.992470

L. H. Skjaerven, G. Gard, M. Sundal, L. Strand

{"title":"Reliability and validity of the Body Awareness Rating Scale (BARS), an observational assessment tool of movement quality","authors":"L. H. Skjaerven, G. Gard, M. Sundal, L. Strand","doi":"10.3109/21679169.2014.992470","DOIUrl":"https://doi.org/10.3109/21679169.2014.992470","url":null,"abstract":"Abstract Movement quality assessed by the Body Awareness Rating Scale (BARS) is used as an indicator of health and self-efficacy in patients with long-lasting musculoskeletal and mental health problems. The objective of the study was to examine reliability and construct validity of the movement quality scale. 25 patients and 25 healthy persons were included. Internal consistency was examined by Cronbach's α, reliability by intraclass correlation coefficient (ICCagreement) and measurement error reported by standard error of measurement (SEM) and smallest detectable change (SDC). Construct validity was examined by testing hypotheses of moderate association between the observational scale and the self-report Short-Form Health Survey (SF-36) subscales and the General Perceived Self-Efficacy Scale (GPSES). A hypothesis about the difference in scores between groups being expected to differ in health states was tested. Internal consistency (α) was 0.92. Inter-tester reliability was ICC = 0.99 and SEM = 0.8. The test–retest reliability was ICC = 0.96 and SEM = 1.4, implying that improvement should be above 3.3 (SDC) to claim a treatment effect. BARS was moderately correlated (0.30 ≤ rs < 0.60) with most SF-36 subscales and GPSES. The patients demonstrated less movement quality than healthy persons. Evidence was provided of high internal consistency and reliability in qualified testers. Construct validity was indicated, as BARS reflected various aspects of health and self-efficacy.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122793385","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}

引用次数: 24