{"title":"Knee angular displacement analysis in amateur ballet dancers: A pilot study","authors":"F. Faria, T. Atalaia, M. L. Carles, I. Coutinho","doi":"10.3109/21679169.2013.840859","DOIUrl":"https://doi.org/10.3109/21679169.2013.840859","url":null,"abstract":"Abstract Ballet gestures are highly non-anatomical and physiological, leading to compensatory behaviors. The knee joint is most affected by this behavior, leading to an increase risk of injury. Our purpose is to describe the knee angular displacement in amateur dancers, during a demi-plié exercise, with emphasis on valgus mechanisms frequency. Methods: 192 demi-pliés collected in six amateur female dancers (mean age = 15.33 ± 1.37 years), were analyzed regarding sagittal and frontal plane angular displacement, with an electrogoniometer connected to a signal acquisition unit at 1000 Hz. Results: all subjects presented valgus peaks along the trials, despite the global varus tendency of the knee frontal plane behavior. A significant positive correlation between the frequency of valgus and practice time was noted. Discussion: A variable angular frontal displacement was observed, with some trials comprehending a high incidence of valgus peaks along the ascending or descending phase of the demi-plié exercise. Conclusion: the frontal knee angle behavior is variable. It may present fast peaks of valgus or an initial trend of varus/valgus that is different from the global varus trend. The analysis of the activity should be considered in the training. The practice time may be related to the observed behavior.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"50 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":"123628325","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}
Christina B Brogårdh, U. Flansbjer, Christina Espelund, J. Lexell
{"title":"The 6-Minute Walk test indoors is strongly related to walking ability outdoors in persons with late effects of polio","authors":"Christina B Brogårdh, U. Flansbjer, Christina Espelund, J. Lexell","doi":"10.3109/21679169.2013.831483","DOIUrl":"https://doi.org/10.3109/21679169.2013.831483","url":null,"abstract":"Abstract Objective: To assess whether gait performance indoors can predict walking ability outdoors in persons with late effects of polio. Design: Descriptive analyses of a convenience sample. Setting: A university hospital rehabilitation medicine outpatient department. Participants: Sixty-three individuals with prior polio (32 men and 31 women, mean age 68 ± 6 years). Main outcome measures: The 6-Minute Walk Test (6MWT) and a 340-m-long distance were used to assess gait performance indoors and walking ability outdoors, respectively. The Borg Rating of Perceived Exertion (RPE) Scale was used to assess perceived exertion after the gait performance tests. Results: Significant correlations (p < 0.01) were found between the 6MWT and the outdoor walking with regard to gait speed (r = 0.92) and perceived exertion (rho = 0.68). A majority of the participants walked significantly (p < 0.001) faster outdoors than indoors; the average gait speed was 1.3 ± 0.3 m/s outdoors and 1.2 ± 0.3 m/s indoors. There was no significant difference in perceived exertion; median RPE was 13 (range 11–19) after the outdoor walking and 13 (range 9–17) after the 6MWT. Conclusion: The strong relationship between gait speed indoors and gait speed outdoors indicates that the 6MWT is a useful test for physiotherapists to predict walking ability in everyday life in ambulatory persons with mild to moderate late effects of polio.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"15 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":"129511610","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":"Walking distance and quality of life in patients selected for endovascular treatment","authors":"Elisabeth Bø, J. Hisdal, A. Bergland","doi":"10.3109/21679169.2013.836566","DOIUrl":"https://doi.org/10.3109/21679169.2013.836566","url":null,"abstract":"Abstract Aims: To investigate the association between walking distance and health-related quality of life (HRQoL), and to explore the possible relation between HRQoL and walking distance, classified by the Fontaine stage, in patients with peripheral arterial disease (PAD) selected for endovascular treatment. Method: A cross-sectional study of 50 PAD patients (49–83 years) selected for endovascular treatment. Walking distance (Six Minute Walk Test and treadmill test), patient-reported walking distance and HRQoL [Medical Outcome Study Short Form Health Survey (SF-36) and Claudication Scale (CLAU-S)] were assessed. Results: The associations between measures of walking distance and domains of HRQoL were small to medium in strength. The measured walking distance was markedly longer than the patient-reported walking distance and correlated only with medium strength. There was a significant reduction in the SF-36 domains physical function, physical role and bodily pain, and the CLAU-S domain daily life between patients who had a walking distance below 200 m, compared with patients with a walking distance above that. Conclusions: The results demonstrate the usefulness of assessing HRQoL in addition to performance-based measurements of walking distance in PAD patients. Its utilization may increase awareness of patients’ actual condition and will be a better guide for identifying the best treatment relative to risks.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"36 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":"130788006","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}
C. Wikström-Grotell, C. Broberg, Siw Ahonen, K. Eriksson,
{"title":"From Ling to the academic era – An analysis of the history of ideas in PT from a Nordic perspective","authors":"C. Wikström-Grotell, C. Broberg, Siw Ahonen, K. Eriksson,","doi":"10.3109/21679169.2013.833985","DOIUrl":"https://doi.org/10.3109/21679169.2013.833985","url":null,"abstract":"Abstract There has been little interest in the historical development and the history of ideas of physiotherapy (PT). The overall aim in this study is to explore the origin and main ideas, concepts and patterns of thoughts in PT and their change over time from 1830–1979 in Finland and Sweden in order to increase the understanding of PT. The study uses a history of ideas approach and is based on Gadamer's hermeneutic ontology, which closely links thinking and conceptualization. The material consisted of textbooks used in PT education, articles from scientific and professional journals, chronicles, minutes and reports from government inquiry. A holistic and naturalistic perspective on PT were early arisen and constant distinctive, but through various forms. A pattern of thought over times is movement as a natural and curative health promoting agent in contrast to a medical remedy. The main ideas of physiotherapy can be understood according to three perspectives on movement: the health cure, the medical cure and the exercise cure. The main ideas form a basis for understanding movement as the core concept of physiotherapy. PT has a knowledge base of its own that has preserved over time, distinct from medicine and other health disciplines.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"112 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":"133563274","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":"Perometry limb volume measurement: protocol development and reliability","authors":"C. Bulley, F. Coutts, Chee-Wee Tan","doi":"10.3109/21679169.2013.831482","DOIUrl":"https://doi.org/10.3109/21679169.2013.831482","url":null,"abstract":"Abstract Aims: Perometry measurement of limb volume involves non-invasive optoelectronic scanning and is increasingly used due to its practicality and increasing evidence for its validity. This study aimed to develop a standardized protocol for the measurement of upper and lower limb volume using a vertical perometer (400T) and test its reliability. Methodology: Multiple pilot studies were conducted in a laboratory-based setting to investigate specific procedural questions and develop the final standardized protocol. This included elements such as standardization of the proportion of limb being measured, and of limb positioning within the perometer frame. The standardized protocol was tested for inter- and intra-rater reliability in two raters, on two separate test occasions, 24–48 h apart. The study included 30 volunteers with no known clinical conditions (n = 23 women, seven men; mean age 23). Major findings: High intra-class correlation coefficient (ICC) values resulted for intra-rater and inter-rater reliability in the upper and lower limbs (0.953–0.989). Limits of agreement analysis demonstrated less positive results, however. Principal conclusion: The results provide support for the use of this protocol to increase standardization and comparability of measurement in clinical and research contexts. Further investigation in different clinical populations is required.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"87 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":"116570458","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 of the 1 RM bench press and squat in young women","authors":"Sofia Ryman Augustsson, U. Svantesson","doi":"10.3109/21679169.2013.810305","DOIUrl":"https://doi.org/10.3109/21679169.2013.810305","url":null,"abstract":"Abstract Although bench press and squat are two of the most frequently performed strength training exercises today, and are used for physical performance assessment in many sports test batteries as well as in physical therapy, studies presenting inter-rater reliability for these tests in young women appear to be lacking in the literature. The aim of this study was to evaluate inter-rater reliability regarding the One Repetition Maximum (1 RM) in bench press and squats in young healthy women. Forty-one women, aged 21–30 years, participated in the present study. The subjects performed 1 RM bench press (n = 21) or 1 RM squat (n = 20) on two different occasions with an interval of 5–9 days using an inter-rater test-retest design. High reliability was noted for both the 1 RM bench press test (ICC2,1 = 0.98) and the 1 RM squat test (ICC2,1 = 0.85), with an SEM of 4% and 11%, respectively. The paired analysis revealed statistically significant difference in 1 RM squat performance between the two test sessions (p = 0.005). No statistically significant difference was found in 1 RM bench press performance between the two testing sessions. While the 1RM bench press showed excellent inter-rater reliability and could be strongly suggested as a measurement of muscle strength, the squat using free weights, as in the present study, could be questioned.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129680239","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":"Health-related quality of life in persons with long-term neck pain after treatment with qigong and exercise therapy respectively","authors":"B. Lansinger, J. Carlsson, M. Kreuter, C. Taft","doi":"10.3109/21679169.2013.805816","DOIUrl":"https://doi.org/10.3109/21679169.2013.805816","url":null,"abstract":"Abstract The aims of this study were to evaluate health-related quality of life (HRQoL) in individuals with long-term, non-specific neck pain before and after treatment with qigong versus exercise therapy and to compare their HRQoL with an age and sex-matched reference population. A total of 122 persons were randomly assigned to either qigong or exercise therapy. HRQoL was measured with the 36-item Short Form Health Survey (SF-36) and pain intensity was assessed with a visual analogue scale (VAS) before and immediately after treatment, and at 12-month follow-up. Both treatment groups improved on all subscales; however, no differences were observed between the treatment groups either before or after treatment. Those who experienced pain relief (at least 10 mm change on VAS; 53%) also significantly improved from baseline on all SF-36 subscales. Persons with chronic neck pain had significantly lower scores on all SF-36 subscales than normative reference values both before and after treatment. The results of this study indicate no differences between qigong and exercise therapy in HRQoL outcome; however, broad HRQoL improvements seem to be contingent on significant pain reduction. As pain reduction was achieved in roughly half of the study group, more work is needed to refine these therapies, to identify neck pain persons most likely to benefit from them and to develop other physiotherapy treatment strategies suitable to non-responders.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116282723","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":"The agreement between GMFCS and GMFCS-E&R in children with cerebral palsy","authors":"Caroline Gudmundsson, E. Nordmark","doi":"10.3109/21679169.2013.814072","DOIUrl":"https://doi.org/10.3109/21679169.2013.814072","url":null,"abstract":"Abstract Aims: The aims of this study were to examine the agreement between the original Gross Motor Function Classification System (GMFCS) and the revised version, GMFCS-E&R, and to describe the characteristics of the persons who changed level when the GMFCS-E&R classification was used. Methodology: During 2009 there were 706 persons (aged 1–20 years) with cerebral palsy (CP), living in the southernmost part of Sweden, who participated in a secondary prevention follow-up programme for persons with CP. Of the 706 participants, 561 were assessed by physiotherapists using both GMFCS and GMFCS-E&R. The agreement between 665 assessment forms, including both GMFCS and GMFCS-E&R levels, was analysed. Descriptive, unweighted and weighted Kappa statistics were used. Major findings: The absolute agreement, with corresponding levels according to GMFCS and GMFCS-E&R was 96.8% (n = 644). Unweighted Kappa showed K = 0.96 (95% confidence interval: 0.94–0.98) and weighted Kappa showed K = 0.97 (95% confidence interval: 0.96–0.99). Both were interpreted as an agreement corresponding to an “almost perfect agreement”. Principal conclusion: This study suggests that the GMFCS-E&R, if administrated carefully, could be used when comparing longitudinal data with the GMFCS.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121886592","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}
Lígia Inez da Silva, Bruno P Rocha, J. Antunes, Jhenifer Karvat, C. M. M. Kakihata, Thiago Fernando Mattjie, G. Bertolini
{"title":"Evaluation of the pressure pain threshold after neural mobilization in individuals with sciatica","authors":"Lígia Inez da Silva, Bruno P Rocha, J. Antunes, Jhenifer Karvat, C. M. M. Kakihata, Thiago Fernando Mattjie, G. Bertolini","doi":"10.3109/21679169.2013.831119","DOIUrl":"https://doi.org/10.3109/21679169.2013.831119","url":null,"abstract":"Abstract The aim of this study was to evaluate variations in the duration of neural mobilization techniques in sciatica patients, generating different responses in pressure pain threshold (PPT) on L5 as well as between the second and third metatarsal. A sample of 30 subjects was used and was divided into two groups: CG (n = 15) – healthy volunteers, and SG (n = 15) – sciatica volunteers. The volunteers were then subdivided into four subgroups (A, B, C and D), according to the number of weeks of intervention, as this was a crossover study. Evaluations occurred at two separate intervals: 15 min before and 15 min after interventions were performed with neural mobilization techniques. Mobilizations were carried out at different duration intervals (0, 3, 7 and 15 min), in accordance to the week of treatment over the course of 4 weeks. Within each individual group, no significant differences were noted. In intergroup comparison, a small positive effect for a duration of roughly 3 min on L5 was observed. It was concluded that short-term outcome effects on pain threshold after neural mobilization in individuals with sciatica generate distinct responses in PPT on L5 and between the second and third metatarsal, and 3-min duration intervals of this technique were sufficient to produce moderate benefits in SG. In contrast, treatment durations of 7 min produced worse results between the second and third metatarsal.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121874060","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 performance measurement in chronic low back pain: measuring physical capacity or pain-related behaviour?","authors":"I. Huijnen, J. Verbunt, H. Wittink, R. Smeets","doi":"10.3109/21679169.2013.830643","DOIUrl":"https://doi.org/10.3109/21679169.2013.830643","url":null,"abstract":"Abstract In patients with chronic low back pain (CLBP), a patient's level of physical functioning is evaluated to determine the impact of pain on physical functioning. It appears that in various performance tests the influence of non-physiological factors differs. It is unclear which performance tests are best suited for measurement of maximum capacity or pain-related behaviour. The main aim of the present review is to highlight the influence of psychological factors during different types of performance testing in patients with CLBP. The degree in which pain-related and psychological factors influence test outcome differs between performance tests. A minimum influence of pain intensity and psychological factors is found in (sub)maximal exercise testing in patients who are able to complete the test. The influence of pain intensity and psychological factors is most prominent in holding endurance tasks evaluating the duration a patient can hold a certain weight. In order to decide which assessment tool for physical performance can best be used for the evaluation of physical functioning in patients with CLBP, one should specifically consider the question that has to be answered. In case a patients’ physical capacity has to be objectified, another assessment tool seems preferred compared with a situation in which a patient's pain-related behaviour is aimed to be assessed.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129810272","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}