The European Journal of Physiotherapy最新文献

{"title":"Content validity and responsiveness of a Finnish version of the Patient-Specific Functional Scale","authors":"Vesa Lehtola, A. Kaksonen, H. Luomajoki, V. Leinonen, S. Gibbons, O. Airaksinen","doi":"10.3109/21679169.2013.828243","DOIUrl":"https://doi.org/10.3109/21679169.2013.828243","url":null,"abstract":"Abstract Background: The Patient-Specific Functional Scale (PSFS) questionnaire was developed by Stratford and colleagues to provide a method for eliciting, measuring and recording descriptions of patients’ disabilities. It can be used to guide treatment and assess patient outcome. The aim of the study was to translate and validate a Finnish version of the internationally used PSFS questionnaire, by testing its content validity and responsiveness, and to conduct a cross-cultural adaptation of the measure. Methods: The final version of the Finnish questionnaire underwent a cross-cultural adaptation before the validation study. The subjects of the study were patients receiving physiotherapy for low back pain (n = 78). They completed the PSFS questionnaire prior to physiotherapy treatment and after treatment series. Roland–Morris Disability Questionnaire (RMDQ) and the visual analogue scale (VAS) were recorded before and after the treatment series. Results: For content validity, a good correlation of the scores between baseline measures of PSFS and RMDQ were 0.65 (Pearson's rho) (p < 0.01). For responsiveness, moderate to good correlation among the measures between changes of the PSFS, RMDQ and VAS (0–100 mm) scores were analysed. Conclusions: The Finnish translation of the PSFS questionnaire performs as the original, is proven to have adequate content validity and responsiveness, and could be recommended as an assessment tool for clinical and research use.","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":"125870572","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":"Implementing cognitive behavioural approach in student's clinical practice: Third-year physiotherapy student's experiences","authors":"May L.T. Ringvold, A. Svensen","doi":"10.3109/21679169.2013.824504","DOIUrl":"https://doi.org/10.3109/21679169.2013.824504","url":null,"abstract":"Abstract Our goal was to explore the experience of third-year physiotherapy students who had been implementing the cognitive behavioural approach in a clinical practice. Nine students were given an 8-h course before their clinical practice. Individual semi-structured interviews were performed after the practice period. The information was analysed by means of qualitative content analysis. Two themes were identified: clinical communication and uncomfortable situations. The students were engaged in cooperating with the patients in goal setting; they stressed the importance of asking open-ended questions and following them up. They emphasized that this was a way of getting the patients to reflect on their own situations. The students explained pain by using verbal and bodily language, and encouraged the patients to become more aware of their own bodies. They were strongly engaged in motivating the patients and giving them control over their own suffering. The students seemed to be confident but caring, finding the balance between exaggerated involvement and emotional distance. Showing empathy is part of this approach.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"162 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":"125661341","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":"Challenges to decrease the burden of spinal pain","authors":"M. Sterling","doi":"10.3109/21679169.2013.832869","DOIUrl":"https://doi.org/10.3109/21679169.2013.832869","url":null,"abstract":"and either they personally or the health or insurance systems are saved costs. (This ultimately means we as tax payers are saved as well). So as the burden of musculoskeletal and spinal pain increases, we are left with little ammunition to prevent this barrage. What is the answer to spinal pain conditions? This is a huge challenge to both physiotherapy research and clinical practice. I don ’ t profess to have the answer to this dilemma but I propose some observations that may be useful to stimulate discussion. Is it the case that we still don ’ t understand the processes involved in the initiation and maintenance of spinal pain? Have investigations in this area been stymied by the popular conception that there is usually no pathoanatomical or peripheral reason to explain persistent spinal pain? Low back pain is labelled non-specifi c and it is commonly assumed that whiplash injury involves no specifi c peripheral lesion or injury(3). It is almost politically incorrect to mention the word ‘ peripheral pathology ’ for fear of being labelled a ‘ peripheralist ’ as one who has little understanding of such in depth and complex issues as pain. Yet on the other hand, what is the advantage to patients in being able to identify peripheral nociceptive sources? How would this change the management of spinal pain? Aside from some structures such as the cervical zygapophseal joint, most spinal structures are not able to be successfully anaesthetised. It is likely that this situation could perpetuate frustration and feelings of helplessness in patients with a diagnosed pathology. This is not a reason to avoid conducting research in this area as the identifi cation of specifi c pathologies may then drive the development of more successful interventional techniques. Further to this, even if patients report decreased pain following such interventions, they still need to be able to move effi ciently and return to their optimal level of function, so the role of physiotherapy remains important. It is the combination and integration of both approaches that could have potential to improve health outcomes. Other processes have been identifi ed as potential contributors to spinal pain and to the development EDITORIAL","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"78 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":"130284968","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 function and self-efficacy – Important aspects of health-related quality of life in individuals with hip osteoarthritis","authors":"A. Sund, A. Sund, P. Magnusson, B. Johnsson, L. Gyllensten","doi":"10.3109/21679169.2013.830331","DOIUrl":"https://doi.org/10.3109/21679169.2013.830331","url":null,"abstract":"Abstract Introduction: Osteoarthritis (OA) is the most common form of arthritis and the most common chronic joint disease in individuals over the age of 65 years. The condition is often associated with significant pain, stiffness, fatigue, and has a strong impact on physical function, mobility and quality of life. Objectives: The aim of the present study was to investigate the associations between health-related quality of life (HRQL), physical function and self-efficacy (the sense of being able to perform specific tasks), in individuals with X-ray-verified hip OA. The aim was also to determine factors explaining good perceived HRQL. Participants: Eighty-nine individuals with X-ray-verified hip OA in the age group 40–75 years participated in this study. The study sample predominantly consisted of females, n = 61 (69%), and the mean age was 62.5 years, range 39–76. Main outcome measures: For assessment of HRQL, the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36), which is divided into the Physical Component Scale (PCS) and the Mental Component Scale (MCS), was used. Physical function was measured with one self-recorded instrument, the Hip Osteoarthritis Outcomes Score (HOOS Swedish version L.K 1.1), and two instruments using observation – the Body Awareness Scale – Movement Quality (BAS-MQ) and the Six Minute Walk Test (6MWT). Self-efficacy was evaluated using the Arthritis Self-Efficacy Scale (ASES). Results: The data indicated that HRQL (SF-36 PCS) had a significant correlation with both observed physical function and self-reported physical function. SF-36 PCS correlated significantly to all five subscales in HOOS, two of three subscales in BAS-MQ, 6MWT and all three subscales in ASES. Three subscales in HOOS, one subscale in ASES and the 6MWT together explained 58% (R2) of the variance in SF-36 PCS. Conclusion: The results of the current study indicated that good physical ability and good self-efficacy are important for HRQL in subjects with hip OA. This knowledge ought to influence future rehabilitation strategies. The treatment strategies for individuals with OA ought to be directed not only to the symptoms of the disease, but also to the individual's possibilities of gaining perceived control over the consequences of the disease including the HRQL.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"102 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":"132468258","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":"Gait characteristics in older women with osteoporosis and fear of falling","authors":"N. Löfgren, A. Halvarsson, A. Ståhle, E. Franzén","doi":"10.3109/21679169.2013.827238","DOIUrl":"https://doi.org/10.3109/21679169.2013.827238","url":null,"abstract":"Abstract Ageing affects gait characteristics during walking under single- and dual-task conditions. Osteoporosis in elderly with fear of falling may further implicate gait alterations. The aims were to characterize spatiotemporal gait parameters, by comparing gait performance at comfortable speed to gait at maximal speed and while performing a dual task, respectively, and to investigate the relationship between gait characteristics and ageing in older women with osteoporosis and self-reported fear of falling. Seventy-nine elderly women (mean age 76 years, range 65–87), with osteoporosis and fear of falling, walked at comfortable and maximal speed and during a cognitive dual task, using the GAITRite® walkway system. Subjects were divided into three age groups (65–69, 70–79, 80 + years). Divergences were analysed with analysis of variance. At maximal gait speed participants increased velocity, cadence, step length and swing phase, and reduced both double support and stance phase (p < 0.001). Dual-task walking decreased cadence (p < 0.001), increased step width (p = 0.007) and step length variability (p < 0.001). Gait performance, especially during a dual task diverged most in the oldest subjects, indicating that they are at a higher risk of falling. This study only found minute alterations compared with normative gait data in healthy elderly.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"11 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":"132171267","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":"Deficits in single-limb stance more than 20 years after ACL injury","authors":"A. Stensdotter, E. Tengman, L. B. Olofsson, C. Häger","doi":"10.3109/21679169.2013.791718","DOIUrl":"https://doi.org/10.3109/21679169.2013.791718","url":null,"abstract":"Abstract Aim: To investigate the long-term effect on balance during single-limb stance after unilateral anterior cruciate ligament (ACL) injury across two groups who had rehabilitation including ACL reconstruction (ACLR) or a tailored physiotherapy program (ACLTPP), compared with knee-healthy controls. Methods: Single-limb stance was monitored for floor-supports with the contralateral foot. Single-limb stance without floor-supports was assessed with analyses of center of pressure (CoP) for further discrimination. Comparisons were made between ACLR (n = 28) and ACLTPP (n = 28) and with controls (n = 18). The injured and uninjured legs were compared within ACL-injured subjects. Results: Single-limb balance was equally inferior in both ACL-injured groups and on both legs compared with knee-healthy controls. In ACLR and ACLTPP, 39% and 50%, respectively, failed to stand on one leg without floor-supports with the contralateral foot. No contralateral supports occurred in knee-healthy controls. CoP measures for subjects who stood without contralateral floor-supports did not reveal any further differences. Older age and higher body mass index (BMI) correlated with larger migration of CoP. Conclusion: Inability to stand without contralateral supports showed that balance in single-limb stance was inferior in ACL-injured subjects, independently of which initial treatment that was given. Age and BMI need consideration in studies assessing balance in single-limb stance.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115630410","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 in a Swedish youth and adult population with cerebral palsy","authors":"Jallal Hamrah Nedjad, E. Jansson, Å. Bartonek","doi":"10.3109/21679169.2013.781220","DOIUrl":"https://doi.org/10.3109/21679169.2013.781220","url":null,"abstract":"Abstract The aim was to explore everyday physical activity (PA) and leisure-time PA in youth and adults with cerebral palsy (CP) including perceived cardiorespiratory exertion. A questionnaire covering everyday and leisure-time PA was answered by 159 persons, mean age 36 years. During morning hygiene, 18% perceived moderate and 4% vigorous exertion, during breakfast 9% perceived moderate and 3% vigorous exertion and during transportation 9% perceived moderate and 5% vigorous exertion. Fifty-seven percent of the participants had some leisure-time PA, of which 14% reached the general recommended level of “at least moderate” and 9% the level of “vigorous” exertion. Total assistance during leisure-time PA was reported by 48%. The number of individuals who reached the levels of leisure-time PA recommended for the general population to receive health benefits and increased aerobic capacity, was low. Everyday and leisure-time PA were not added together because the participation in everyday routines may have been a treatment goal. Limitations of the study were the difficulties to estimate received assistance and the high number of proxy answers. With respect to the participants’ capabilities, we suggest suitable tools exploring both PA habits and intensity of activity in various severities of CP.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127853671","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":"Status of weight reduction as an intervention in physical therapy management of low back pain: Systematic review and implications","authors":"J. Woolner, E. Dean","doi":"10.3109/21679169.2013.792103","DOIUrl":"https://doi.org/10.3109/21679169.2013.792103","url":null,"abstract":"Abstract Obesity is an independent predictor of back pain and its severity, and healthy weight is associated with less pain and disability, and greater capacity to be active. Given the commitment of physical therapy to health-focused practice, we systematically reviewed current literature on physical therapy management of low back pain with special attention to body weight and its management. Relevant MeSH headings for physical therapy, low back pain and management were used to identify articles in the EMBASE database. The search was limited to randomized controlled trials and published in English over 1 year (June 2011 through May 2012). Of 53 articles meeting criteria, 35 source articles were analyzed. Of these, 17 included initial weight measurement; six included post-intervention weight measurement; five compared weights pre–post-intervention; 18 articles did not include weight as an outcome measure; and none included weight management as either a primary or secondary low back pain intervention. Although the relationship between back pain and overweight has not been established to be causal, this should not exclude its being a focus of contemporary physical therapy practice guidelines. This practice augments patient health consistent with the profession's commitment to the ICF and health-focused practice, and minimizes weight-related contribution to back pain.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128506247","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":"Falls, fear of falling and falls risk in adults with cerebral palsy: A pilot observational study","authors":"P. Morgan, J. McGinley","doi":"10.3109/21679169.2013.795241","DOIUrl":"https://doi.org/10.3109/21679169.2013.795241","url":null,"abstract":"Abstract Aims: To investigate the frequency and consequences of falls in a group of adults with cerebral palsy (CP) and explore relationships between falls, falls risk, balance and fear of falling. In addition, this study will compare falls risk factors in those reporting falls and those not reporting falls. Method: Twenty-five ambulant community dwelling adults with CP (mean age 41 ± 9.3 years) participated in this pilot observational study. An evaluation of current mobility (walking speed), falls risk (Falls Risk for Older People – Community), balance (Berg Balance Scale, Timed Up and Go) and fear of falling (Falls Efficacy Scale – International) was undertaken followed by prospective falls diary completion for 6 months. Major findings: Seventeen participants reported falls (range 1–75, mean 7.12 ± 18.5). Seven participants reported one fall, six participants reported two or three, and the remaining four reported more. Most falls (176 in total) resulted in no (122) or minor injury (37). One fall-related fracture occurred. Fear of falling and falls risk did not differ between those who fell and those who did not fall (p > 0.05). Fear of falling was correlated with walking speed (r = − 0.511, p = 0.009) and Timed Up and Go performance (r = 0.493, p = 0.012). Principal conclusion: Some adults with CP may experience falls with elevated falls risk and adverse consequences. Current falls risk measures may have limited capacity to identify falls risk in adults with CP.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115904632","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":"Maximum respiratory pressure alterations after spinal manipulation","authors":"Pedro Henrique Lazarin da Silva, Daniela de Ré, G. Behne, Mariana Paula Vazatta, A. R. de Carvalho","doi":"10.3109/21679169.2013.780096","DOIUrl":"https://doi.org/10.3109/21679169.2013.780096","url":null,"abstract":"Abstract Objective: To verify the immediate effect of spinal manipulation in rotation of the third cervical vertebra (C3) and the 12th thoracic vertebra (T12) in maximum inspiratory (MIP) and expiratory (MEP) pressure in healthy people. Methodology: Healthy university students, sedentary, of both sexes (n = 59), were randomly divided into four groups: placebo group (PG/n = 14/21 ± 1.4 years/mobilization of ankle); cervical manipulation group (CMG/n = 15/21 ± 2.4 years); thoracic manipulation group (TMG/n = 15/21 ± 1.7 years); and cervical and thoracic manipulation group (CTMG/n = 15/21 ± 1.5 years). The MIP and MEP were measured by manometer immediately before and after intervention and the highest value was used as the value of valid tests. The data was normalized by dividing the obtained values on the lower limit of normal range predicted by gender and age for each variable. Results: There was a significant increase in intragroup comparisons of the variables in the CMG (MIP-pre: 0.72/post: 0.76/p < 0.05, MEP-pre: 1.09/post: 1.15/p < 0.01) and CTMG (MIP-pre: 0.64/post: 0.72/p < 0.01; MEP-pre: 0.90/post: 1.01/p < 0.05) in post-intervention compared with baseline, which was not observed in PG and in TMG. There was no difference in intergroup comparisons. Conclusion: Manipulation of C3 alone or combined with manipulation of T12 increased maximum inspiratory and expiratory pressure.","PeriodicalId":186472,"journal":{"name":"The European Journal of Physiotherapy","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122613907","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}