The European Journal of Physiotherapy最新文献

{"title":"In search of recognition – Patients’ experiences of patient participation prior to multimodal pain rehabilitation","authors":"Catharina Nordin, A. Fjellman-Wiklund, G. Gard","doi":"10.3109/21679169.2013.871061","DOIUrl":"https://doi.org/10.3109/21679169.2013.871061","url":null,"abstract":"Abstract The aim of this study was to explore primary healthcare patients’ experiences of patient participation prior to multimodal pain rehabilitation. Data was collected from interviews with 17 patients, aged 23–59 years, after completing multimodal rehabilitation. Data was analysed using qualitative content analysis. The theme, In search of recognition, depicted patient participation prior to the multimodal pain rehabilitation as a lack of recognition in the healthcare system. A demand for medical help and the healthcare professionals’ preferential right to interpret the patients’ condition formed the category Need for medical affirmation. In the category Emotional and cognitive alienation, patients emphasized distress when being unconfirmed. This entailed an emotional and cognitive distance between the patients and the healthcare professionals. Situational factors, together with patients’ emotional and cognitive prerequisites and patients’ strategies to be included in dialogue represented the category Need to communicate, which influenced the opportunities to participate. For healthcare professionals, it is important to understand that patients in multimodal pain rehabilitation may have experiences of a clinician-centred behaviour in the past. Patients may have been unconfirmed and their point of view disregarded. For the future, greater effort for dialogue and patients’ involvement in decision-making and rehabilitation planning is needed.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"111 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114010238","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}

{"title":"Myofascial release for women undergoing radiotherapy for breast cancer: A pilot study","authors":"R. Marshall-McKenna, L. Paul, A. McFadyen, A. Gilmartin, A. Armstrong, A. Rice, P. McIlroy","doi":"10.3109/21679169.2013.872184","DOIUrl":"https://doi.org/10.3109/21679169.2013.872184","url":null,"abstract":"Abstract Aims: Following breast cancer surgery some patients proceeding to adjuvant radiotherapy experience restricted upper limb mobility, which may only be evident at the time of radiotherapy simulation. Myofascial release (MFR), a form of physiotherapy, may be of benefit to improve upper limb mobility for some patients undergoing radiotherapy. There is no research specifically on the use of MFR during radiotherapy. The aim of the study was to investigate the effectiveness of MFR to improve upper limb mobility during the radiotherapy period. Methods: 24 patients were recruited and randomized to receive MFR (n = 14) or usual care (n = 10). Outcome measures for range of movement, pain, disability and function, anxiety and depression were taken on three occasions, over a 4-month period. Results: Four ranges of movement at the shoulder improved in the MFR group, this improvement was statistically significant for abduction (p = 0.001) and combined abduction/flexion/external rotation (p < 0.001). Conclusion: MFR was well tolerated and may be beneficial for some women receiving radiotherapy who are experiencing difficulty or discomfort with upper limb movement. Further research into the optimal timing and frequency of MFR treatments for women undergoing radiotherapy for breast cancer is warranted.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121731100","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}

{"title":"Knee muscle strength – A challenge to measure","authors":"Maria Örtqvist, Å. Bartonek, E. Gutierrez-Farewik, E. Broström","doi":"10.3109/21679169.2013.865262","DOIUrl":"https://doi.org/10.3109/21679169.2013.865262","url":null,"abstract":"Abstract The aims were to assess the reliability of knee extensor and flexor muscle strength measurements using the Strength Measuring Chair (SMC) in children and adults, and to assess agreement between the SMC and an isokinetic dynamometer (ID). 20 healthy children (10/10 boys/girls, 5–13 years) and 23 adults (10/13 men/women, 23–60 years) were included. Muscle strength tests were performed in the SMC and in the ID. The intra-subject reliability was shown to be excellent in both instruments (ICC 0.93–0.99) and an excellent test–retest reliability of measurements in the SMC was found (ICC 0.87–0.93). Agreement between instruments was evaluated with ICC, paired t-test and Bland–Altman 95% limits of agreement plots. In both adults’ and children's groups, disagreements were found between the two instruments, with more in the children's group. The SMC, which has previously shown to be valid and reliable for measuring plantarflexor muscle strength, reliably measured knee muscle strength in healthy children and adults. However, the large disagreement found between the instruments, especially in the children's group, warrants care in standardizing measuring positions for different body size and warrants caution in comparing one's muscle strength measured using different assessment methods.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121702205","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}

{"title":"Physical activity and exercise during pregnancy","authors":"M. Kader, Saira Naim-Shuchana","doi":"10.3109/21679169.2013.861509","DOIUrl":"https://doi.org/10.3109/21679169.2013.861509","url":null,"abstract":"Abstract A physical inactive lifestyle is associated with increased prevalence of chronic diseases such as cardiovascular disease, type 2 diabetes, osteoporosis and cancer. The proportion of pregnant women with overweight or obesity is increasing rapidly across the world and this excess weight, mainly obesity, is associated with increased risk of health problems during pregnancy and in connection with childbirth. Pregnancy poses significant physiological changes in the body and thus many pregnant women are worried about being physically active or exercising during this period. This literature review aimed to determine the advantages or disadvantages, current recommendations and restrictions on physical activity and exercise during normal pregnancy. Searches were carried out on databases PubMed, CINHAL and the Cochrane Library. The review indicates that all healthy pregnant women can be physically active to achieve health benefits. Physical activity and exercise during pregnancy does not increase any risk of adverse pregnancy or birth outcomes, not even for elite athlete women. All healthy pregnant women can remain physically active. However, high-risk sports or hard working should be avoided; greater caution and carefulness should be taken to avoid any unexpected complications and elite knowledge about physical activity and exercise during normal pregnancy is necessary.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132196609","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}

{"title":"Reliability and validity of the Swedish version of the Self-Efficacy for Rehabilitation outcome scale in persons with knee osteoarthritis","authors":"Elke Liebenhagen Andersson, Christina B Brogårdh","doi":"10.3109/21679169.2013.865261","DOIUrl":"https://doi.org/10.3109/21679169.2013.865261","url":null,"abstract":"Abstract Objective: To examine reliability and validity of the Swedish version of the Self-Efficacy for Rehabilitation (SER) outcome scale. Methods: One-hundred and ninety-eight inpatients (mean age 69 years) who underwent a primary total knee arthroplasty (TKA) due to knee osteoarthritis participated. They responded pre- and postoperatively to the SER outcome scale, and preoperatively to the Hospital Anxiety and Depression Scale (HAD) and the Knee Injury and Osteoarthritis Outcome Score (KOOS). Relative and absolute reliability were assessed. Internal consistency reliability was analysed with the Cronbach's alpha (α), and test–retest reliability with the intraclass correlation coefficient (ICC 2.1) and standard error of measurement (SEM%). Construct validity was analysed with explorative principal component analysis (PCA) and convergent validity with the Spearman's rang correlation test (rs). Results: For the SER outcome scale, the Cronbach's α was 0.97. The mean total score was 101.1 points on the 14th postoperative day and 101.4 points on the 21st postoperative day, with no systematic bias (p = 0.91) between the tests. The ICC was 0.78 and SEM% was 10%. The PCA explained 84% of total variance for two components. The correlation between SER and HAD was rs = − 0.23 (p = 0.002), and between SER and KOOS's five dimensions rs = − 0.02 to 0.15 (ns). Conclusion: The Swedish version of the SER outcome scale can be considered reliable and valid for assessing self-efficacy in patients with knee osteoarthritis. Increased self-efficacy may help the patients to choose appropriate coping strategies when performing physical activities after the operation.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"133 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131568637","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}

{"title":"Is the 6-minute cycle test useful in a cardiac rehabilitation programme?","authors":"P. Villumsen, D. V. Van Lelieveld, S. Møller","doi":"10.3109/21679169.2013.860622","DOIUrl":"https://doi.org/10.3109/21679169.2013.860622","url":null,"abstract":"Abstract Purpose: To determine the repeatability of the 6-minute cycle test (6MC), and the usability of the 6MC as a measure of outcome changes in a cardiac rehabilitation programme (CR). Method: Subjects were 49 PCI patients, aged 43–68 years, participating in a phase II CR programme. Repeatability: Each patient performed a 6MC test and retest on 2 separate days. The workload of the 6MC was determined by an incremental ergometer cycle test prior to the 6MC test. Outcome: 36 of the initial 49 patients performed the 6MC tests after 8 and 12 weeks of exercise and again 1 month after completing the CR programme. Results: The coefficient of variation (CV) was 4.2% for the 6MC. The 95% CI for the difference between test–retest were for the 6MC [− 0.185 to 0.285] km., p = 0.044. Data showed significant changes between baseline and 8 weeks of exercise, p < 0.01. Data revealed individual improvements exceeding the 95% CI of the patients. Conclusion: 6MC showed to be able to determine collective and individual outcomes in CR. Further studies are necessary to address the relation between VO2 max test and results of the 6MC test.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125665362","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}

{"title":"Balance performance and self-perceived handicap among patients with Meniere's disease – A comparison with healthy controls","authors":"E. Ekvall Hansson, M. Brattmo","doi":"10.3109/21679169.2013.840858","DOIUrl":"https://doi.org/10.3109/21679169.2013.840858","url":null,"abstract":"Abstract Aims: To study balance performance and self-perceived handicap among patients with Meniere's disease. To analyse whether there were any differences in balance performance between patients with Meniere's disease and healthy subjects. Methodology: Six different balance measures and one measure of self-perceived handicap were used. Median values and min–max values were calculated as well as differences in balance measures between patients with Meniere's disease and age- and sex-matched healthy controls. Major findings: Twenty-two patients with Meniere's disease and 22 healthy controls participated in the study. Patients with Meniere's disease showed a statistically significant decrease in five out of six balance measures compared with the control group (p = 0.000–0.003). They also experienced a high degree of self-perceived handicap because of dizziness. Conclusion: Patients with Meniere's disease have poorer balance than healthy controls. They also experience a high degree of self-perceived handicap because of dizziness. These findings are useful when planning and evaluating rehabilitation for patients with Meniere's disease.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116084186","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}

{"title":"Integrating theory and practice by self-directed inquiry-based learning? A pilot study","authors":"C. Sjödahl Hammarlund, E. Nordmark, C. Gummesson","doi":"10.3109/21679169.2013.836565","DOIUrl":"https://doi.org/10.3109/21679169.2013.836565","url":null,"abstract":"Abstract Inquiry-based learning (IBL) is a research-based model promoting self-directed learning. The aim was to describe how five physiotherapists experienced their learning during their participation in two inquiry-based online courses. Primary data was their written self-reflections. Triangulation was done based on the self-reflections and the free text comments from three course evaluation surveys. Data analyses were done by qualitative content analysis. Autonomy emerged as the main theme, which was structured into three categories: (i) learning processes; (ii) perceiving increased self-efficacy; and (iii) transfer and implementation of theories and skills to practice. Being able to choose the research topic according to professional interest increased motivation and perceived meaning. Interacting with peers brought new perspectives and deeper understanding. The data triangulation revealed partially new aspects. Retrospectively, the participants expressed having gained new skills, which was augmented by their perception of professional relevance and the integration of theory in the clinical practice. Expressions of increased self-efficacy and the transfer of knowledge, understanding and skills to clinical practice, was interpreted as important parts of autonomy. In conclusion, courses with a research-based design may promote motivation and self-efficacy. Forum for peer support and collaboration was perceived to augment the creativity and broaden the understanding.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129429532","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}

{"title":"It is time for using adequate assessment and new designs to improve the effectiveness of treatment in chronic musculoskeletal pain","authors":"R. Smeets","doi":"10.3109/21679169.2013.862909","DOIUrl":"https://doi.org/10.3109/21679169.2013.862909","url":null,"abstract":"’ t know who benefi ts most from what type of treatment – or sometimes even combining types of CBT that might also be contra productive, for example gradually increasing activities by using operant principles on a time contingent basis and teaching the patient to rebalance activity – rest using a pain-contingent approach. Results of randomized, controlled trials (RCTs) in which multidisciplinary treatments are being studied show only low to moderate effect sizes and at least half of the patients do not even show a clinically relevant improvement of personal relevant activities and participation (6). It should be mentioned that many trials do not even use personal relevant outcome measures. But why are the results so moderate? Shouldn ’ t we fi rst perform an adequate assessment of each patient on the basis of his/her goals and a hierarchy of factors that maintain the chronicity of disability to decide what treatment modalities should be provided? I do think that is what we commonly do in clinical practice, but it is diffi cult to study within an RCT design (7). By applying newer techniques using sophisticated statistical analyses, such as randomization testing in single case design (SCD) studies (8), we can make signifi cant progress. This type of study really resembles our daily clinical practice, and by multiple sampling of each patient provides much data to ensure suffi cient power to test whether the hypothesis that the selected treatment modality works can be confi rmed or rejected. Unfortunately, most journals, and especially communities involved in meta-analysis such as the Cochrane collaboration, still view this type of study as being of low quality. I do think it is time to change this view. Another important topic of intervention studies is the description of the content of the treatment and the check as to whether the provided treatment is similar to the treatment protocol, the so-called process evaluation. Many studies still only briefl y discuss the content and treatment rationale (underlying theory) and hardly ever present data on the process evaluation. Regrettably, an extensive description of the diagnostic process, selection of treatment and EDITORIAL","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127154232","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}

{"title":"Experiences with using mechanical in–exsufflation in amyotrophic lateral sclerosis","authors":"Vibeke Siewers, T. Holmøy, Jan Frich","doi":"10.3109/21679169.2013.834513","DOIUrl":"https://doi.org/10.3109/21679169.2013.834513","url":null,"abstract":"Abstract Objectives: To explore patients’, family carers’ and health professionals’ experiences with using mechanical insufflation– exsufflation (MI-E) in amyotrophic lateral sclerosis (ALS) in the home setting. Methods: Qualitative study using data from semi-structured interviews with five patients with ALS, three family carers and three health professionals. Results: Factors associated with successful implementation of the MI-E device were trust between patient and carer, confidence in using the device, and sufficient instructions and practical training. Introducing an MI-E device could change social relationships between patient and carers. One patient reported not using MI-E, others used the device on a regular basis, and some patients used it sporadically depending on symptoms or the presence of carers who were confident with the device. Among effects reported by patients were elimination of airway secretions, feeling of being able to breathe more deeply and security in knowing that they had a device that could relieve symptoms in case they needed it. Conclusions: Health professionals need to take into account individual and social aspects of implementing an MI-E device in patients’ home environment. Proper instruction and training is important for building competency in how to use the device, and trust and continuity among carers are important factors for successful implementation.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115380470","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}