Physiotherapy Practice and Research最新文献

{"title":"Mobility following femoral neck fracture surgery: Does surgical treatment affect outcome?","authors":"Sarah McShane, Elaine McCabe, H. French, E. Hand, Deirdre Gilsenan, Orlagh Hynes, Abishekar Bisseru, Aaron A Glynn","doi":"10.3233/ppr-220724","DOIUrl":"https://doi.org/10.3233/ppr-220724","url":null,"abstract":"BACKGROUND: Hip fractures are a life changing injury for many; often patients sustaining a hip fracture do not regain their pre-injury function. Early rehabilitation improves patient outcomes (e.g. Mobility, independence & function). OBJECTIVES: The aim of this study was to investigate whether patients with hip fracture progressed differently depending on their surgery type, specifically whether arthroplasty or internal fixation (IF) was employed as part of the surgical management. METHODS: A prospective audit was completed on hip fracture patients presenting to our unit between October 2019 and October 2020 who received surgical intervention for their fracture. The audit collected data on patient outcomes, specifically Timed Up and Go scores (TUG), Discharge destination and Cumulative Ambulatory Scores. The study group comprised 89 patients with femoral neck fractures (60 females, 29 males). The average age was 77 (range 50–96) years. Sixty-nine patients were managed with an arthroplasty, 20 patients were managed with IF. RESULTS: Results from this audit highlighted that at discharge, TUG scores had improved in both groups with the arthroplasty group completing their TUG in a mean of 46 seconds (median 39 seconds) and the IF group in a mean of 55.7 seconds (median 46 seconds). Eleven (55% ) of the patients treated with IF were discharged home directly, while 26 (38% ) of the patients treated with an arthroplasty were discharged home directly. Hip fracture patients treated with arthroplasty had lower functional ability on day one post-operatively based on the CAS. Patients treated with arthroplasty showed greater improvement in function and mobility at the time of discharge when compared to the IF group. A greater proportion of the IF group were discharged directly home (55% vs 38% ) and able to receive any ongoing rehabilitation as an outpatient while a greater portion of the arthroplasty group required further inpatient rehabilitation (35% vs 48% ). CONCLUSION: This audit indicated that irrespective of surgical intervention (Arthroplasty or IR) there is little difference in patient outcomes in the post-operative period.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44369325","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":"Effectiveness of muscle energy technique on the range of motion, flexibility, and function in musculoskeletal disorders: Systematic review and meta-analysis","authors":"H. Hussien, Maryam Alshdokhi, Eman Almuqati, Amal Albjeedi, Khayal Aljbreen, Rwabi Albrak, F. Alshammari, A. Ibrahim","doi":"10.3233/ppr-230741","DOIUrl":"https://doi.org/10.3233/ppr-230741","url":null,"abstract":"OBJECTIVES: Muscle energy technique (MET) is a voluntary contraction of a patient’s muscle in a predetermined direction, at varying levels of intensity. Its commonly used as a treatment option in musculoskeletal rehabilitation. This study aims to investigate the effectiveness of MET in the treatment of people with musculoskeletal injuries with particular emphasis on flexibility, range of motion (ROM), and function. METHODS: Scopus (via Science Direct), CINAHL via (EBSCO), Embase (via OvidSP), PubMed, and PEDro were searched using specified keywords to select randomized controlled trials that assessed the effect of MET on flexibility, ROM, or function in patients with musculoskeletal disorders. Two authors extracted all related information from the included trials and presented them in an excel spreadsheet. Two other authors independently conducted the quality assessment. Meta-analysis was performed where homogeneity (similirty regarding population and outcomes) was sufficient and required data were available. RESULTS: A total of 42 studies were included. Yet, twelve joined the meta-analysis where six comparisons were conducted. Of them, four comparisons were composed of two trials, one comparison consisted of six, and another one was composed of four. No statistically significant differences were observed between MET and other comparators regarding function and ROM, especially in patients with low back or neck pain. MET was statistically significantly better than control or sham interventions on the flexibility of patients with sacroiliac joint (SIJ) problems. CONCLUSIONS: MET can produce better flexibility than placebo and control interventions in patients with SIJ problems. MET is not better than other interventions regarding function and ROM. Although the existence of multiple trials testing the effectiveness of MET, there is obvious heterogeneity. There is no sufficient evidence to reliably determine the clinical effect of MET in practice.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42321552","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 related performance fatigability in patients with knee osteoarthritis as compared to healthy controls","authors":"Aleena Waqar, Mahnoor Saif, Muhammad Osama, Rida Nasir, Amman Fayyaz","doi":"10.3233/ppr-220655","DOIUrl":"https://doi.org/10.3233/ppr-220655","url":null,"abstract":"PURPOSE: Knee Osteoarthritis is a common degenerative joint disease associated with significant walking-related disability. Impaired gait mechanics can lead to an increase in energy expenditure and impaired energy recovery, causing an increase in perceived fatigue resulting in functional decline. However, despite the association of performance fatigability with negative health outcomes and walking-related disability, it is still not well understood in patients with knee osteoarthritis. METHODS: The study conducted a cross-sectional comparison between 20 participants with knee osteoarthritis (OA) classified as grade III or less on the Kellgren classification, and a control group of 20 healthy individuals matched in age, weight, height, body mass index (BMI) and gender. A six-minute walk test (6MWT) was used as an outcome measurement tool, and distance, gait velocity, and walking-related performance fatigability were calculated. SPSS version 21 was used to analyze the data, and the normality of the data was determined using the Shapiro-Wilk test. For normally distributed data, the independent t-test was employed, while the non-normally distributed data was analyzed using the Mann-Whitney U test. RESULTS: No significant differences (p >  0.05) were observed between healthy controls and participants with knee OA in terms of age, weight, height, and BMI. However, significant differences (p <  0.05) were observed in total distance covered in 6 minutes, distance covered in each minute, gait velocity and walking-related performance fatigability. Persons with knee OA demonstrated greater fatigability and lesser gait velocity and distance covered during the 6MWT. CONCLUSION: Individuals with knee OA exhibited greater fatigability and lower gait velocity and distance covered during the 6MWT.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42800425","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":"Skin blood flow as an objective measure for lateral elbow tendinopathy","authors":"P. Sakulsriprasert, T. Bunprajun, Subkamon Soonthonsawat","doi":"10.3233/ppr-220706","DOIUrl":"https://doi.org/10.3233/ppr-220706","url":null,"abstract":"PURPOSE: To investigate the test-retest reliability, side-to-side difference, responsiveness, and concurrent validity of skin blood flow (SkBF) measured by laser Doppler flowmetry (LDF) in individuals with acute or subacute lateral elbow tendinopathy (LET). METHODS: Eighteen individuals with acute or subacute LET were recruited for this study. SkBF was measured over the lateral epicondyle and common extensor origin on both ipsilateral and contralateral sides. The intraclass correlation coefficient (ICC3,1) was used to evaluate test-retest reliability. A paired t-test was used for comparing the side-to-side difference. Responsiveness was reported with a change score, paired t-test, effect size (ES), and standardized response mean (SRM). The concurrent validity of SkBF was investigated by correlating with a visual analog scale (VAS) pain intensity during resisted wrist extension isometric contraction using the Spearman correlation coefficient. RESULTS: Test-retest reliability was good at lateral epicondyle (ICC3,1 = 0.899), and at common extensor origin (ICC3,1 = 0.803). A side-to-side difference was found between the two sides (p <  0.001). For responsiveness, the change score for SkBF at the lateral epicondyle was – 8.04, and the common extensor origin was – 3.54. The ES and SRM ranged from – 0.71 to – 0.78. Concurrent validity was reported with a strong correlation with pain intensity (r = – 0.637). DISCUSSION: SkBF is a reliable and responsive variable for investigating the elbows with acute or subacute LET providing clinical information according to its inflammatory responses. However, the concurrent validity can be found only for SkBF at common extensor origin, which correlates with pain during resisted wrist extension isometric contraction.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46094798","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":"Calisthenics versus Pilates training on glycemic control and body fat in overweight individuals with type 2 diabetes mellitus","authors":"Kinjol Kamat, V. Kage, Sherin Sequeira","doi":"10.3233/ppr-220688","DOIUrl":"https://doi.org/10.3233/ppr-220688","url":null,"abstract":"BACKGROUND: Physical activity plays an important role in management and preventing complications of type 2 diabetes mellitus (DM). Effectiveness of Pilates on DM showed that there was improvement in glucose control. Presently, resistance training forms are becoming very popular for weight loss and DM. Calisthenics is a relatively new form of resistance exercise training that has been less studied in obese and diabetic individuals. STUDY PURPOSE: To evaluate and compare the effect of Calisthenics and Pilates training approaches on percentage body fat and glycemic control (HbA1C, Post Prandial Blood Glucose (PPBG)) in overweight individuals with type 2 Diabetes mellitus (DM). METHODS: Thirty (n = 30) over weight individuals with type 2 DM with HbA1C levels >6.5% were recruited for the study. The participants were randomly allocated to calisthenics (CG) and Pilates (PG) study groups who received respective exercise interventions for 12 weeks. The outcome measures were HbA1C, PPBG and percentage body fat assessed at pre and post intervention. RESULTS: Both CG and PG study groups showed statistically significant difference for glycemic control (HbA1C, PPBG) post 12 week intervention. However, significant improvement was noted in CG than PG in terms of HbA1c (p = 0.03), PPBG (P = 0.01) and body fat percentage (p <  0.0001). CONCLUSION: Calisthenics exercise training was more effective than the Pilates training in achieving long term (HbA1c) and post meal (PPBS) glycemic control with significant reduction in body fat percentage in overweight individuals with type 2 DM.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46857281","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":"Introduction to Physiotherapy Practice and Research volume 44 issue 1","authors":"Jonathan Moran","doi":"10.3233/ppr-239001","DOIUrl":"https://doi.org/10.3233/ppr-239001","url":null,"abstract":"","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"157 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135250570","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":"Validity and reliability of proprioception tests with electrogoniometer and mobile application in patients with stroke","authors":"Aisuke Takahashi, Shun Kitsunai, Hikaru Kawana, K. Furukawa","doi":"10.3233/ppr-220702","DOIUrl":"https://doi.org/10.3233/ppr-220702","url":null,"abstract":"BACKGROUND: Although proprioceptive impairment is observed in about half of patients with stroke and is a factor affecting functional recovery and length of hospital stay, there is a discrepancy in terms of its measurement methods between physiotherapy research and the clinical field. This study aimed to examine the concurrent validity and reliability of knee proprioception using an electrogoniometer and a mobile app in patients with stroke. METHODS: In this cross-sectional study, we conducted proprioception tests with an electrogoniometer (custom-made device; Unimec, Japan) and an app (Goniometer Pro; 5fuf5, Bloomfield, NJ) in 28 hospitalized patients with stroke, with an average of 11.21 days (range 2–4 days) from the onset of stroke. Threshold to detect passive motion (TDPM), TDPM+muscle tendon vibration (MTV), and joint position sense (JPS) were used for proprioception tests. These tests were performed three times each in a random order, and the intraclass correlation coefficient, correlation, and absolute reliability for the electrogoniometer and the app were analyzed. RESULTS: Both TDPM and TDPM+MTV measured by the electrogoniometer and the app showed high correlation and “good” to “excellent” reliability regarding the variation in measured values, indicating that the two instruments are compatible, while JPS showed “poor” to “moderate” reliability and weak correlation for the electrogoniometer and the app. CONCLUSIONS: In conclusion, in patients with stroke, TDPM and TDPM+MTV measurements using the Goniometer Pro app can replace measurements with an electrogoniometer.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43981042","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":"Assessing lower limb angles from sagittal plane images captured with a smartphone for post-stroke gait","authors":"Yu Kitaji, Haruhiko Sato, Shinnosuke Ishida, Hiroaki Harashima, Satoshi Miyano","doi":"10.3233/ppr-230739","DOIUrl":"https://doi.org/10.3233/ppr-230739","url":null,"abstract":"BACKGROUND: Clinical gait analysis of sagittal plane lower-limb kinematics using video images is a quantitative tool for clinicians. However, the reliability and validity of limb kinematics after stroke using video images has not been fully investigated. OBJECTIVE: This study aimed to examine the within-session inter-rater reliability and criterion-related validity of lower limb angles measured in sagittal plane images captured using a smartphone for assessing post-stroke gait and to determine which asymmetric parameters are associated with faster gait velocity. METHODS: Thirty-two patients with stroke were included; video images were recorded as they walked at their preferred pace for 1–3 cycles. Lower limb angles (contact, push-off, and excursion angles) and degree of asymmetry were determined based on video images using markers of acromion, greater trochanter, and fifth metatarsal head. Measurement reliability was calculated using the two-way random effects model of intraclass correlation coefficients and minimal detectable change. The criterion validity investigated Pearson’s correlation between lower limb angles and their asymmetry and gait velocity. RESULTS: The lower value of the 95% confidence interval of intraclass correlation coefficients (2.3) of the lower limb was 0.891, and the maximum minimal detectable change was 9.6 degrees. Push-off angle showed a moderate-to-strong correlation with gait velocity, whereas the asymmetry of the push-off angle showed a weak correlation with gait velocity. CONCLUSIONS: Assessing post-stroke gait utilizing video images using a smartphone is feasible. The push-off angle, in particular, may provide insight into the clinical assessment of post-stroke gait.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44047089","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":"Activation of latissimus dorsi muscle in patients with sacroiliac joint dysfunction when lifting a load","authors":"Zully Rocío Rincón Rueda, A. Oliveira, Carolina Ramirez","doi":"10.3233/ppr-220626","DOIUrl":"https://doi.org/10.3233/ppr-220626","url":null,"abstract":"BACKGROUND: Sacroiliac Joint Dysfunction (SIJD) may be observed in 13% to 30% people with idiopathic low back pain (LBP). Latissimus dorsi (LD) muscle works by stabilizing the SIJ, providing a pathway for force transmission through the thoraco lumbar fascia. Literature has shown that muscles can change their activation pattern in response to pain, altering motor control. However, to date, there have been no studies evaluating the EMG activity of LD in people with SIJD while lifting a load, this could guide for a better understanding about how muscle activation occurs in this group of patients. AIM: To evaluate and compare activation of LD in people with LBP, SIJD and without LBP in load lifting. METHODS: One hundred fourteen people were evaluated and divided into 3 groups: LBP, SIJD and Control group. EMG signals were recorded from LD while the subjects lifted a load in a symmetrical posture. Subjects started in an upright position, grasped the box from the floor and returned to the initial position with flexed elbows. Root Mean Square (RMS) amplitude and latency were calculated. The Kruskal-Wallis and the post hoc Dunn’s tests were used to compare groups. RESULTS: Results showed that left LD in SIJD group is activated 26.21% more than in the control group and 23.98% than the LBP group (p = 0.02). Besides, right LD has a delayed onset in SIJD by 0.68 ms compare with the control group and 0.29 ms with LBP group (p = 0.03). CONCLUSION: In a specific group of individuals with SIJD, alterations in LD muscle activation, could be evidenced by an increased RMS amplitude which is accompanied with a delay in activation in the opposite side during lifting a load in a symmetrical posture.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49148928","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":"Physiotherapists’ experience with online group exercise classes: A nationwide survey","authors":"E. Cronin, Maire McCallion, K. Monaghan","doi":"10.3233/ppr-220730","DOIUrl":"https://doi.org/10.3233/ppr-220730","url":null,"abstract":"INTRODUCTION: The Covid-19 pandemic provided a research opportunity to explore online group exercise programmes in larger numbers while restrictions on group gatherings were in place. An online survey was conducted with Irish Physiotherapists to ascertain their views on online group exercise programmes and the methods they employed to conduct their online classes in order to guide Physiotherapists with future care delivery. METHODS: A mixed-methods design was employed using a cross-sectional national online survey of Physiotherapists in Ireland. The survey collected both qualitative and quantitative data. Descriptive statistics were used to summarise the ordinal and continuous data and free-text responses were analysed using conventional content analysis. RESULTS: In total, 81 Physiotherapists completed the surveys. The majority of Physiotherapists (62% ) feel a blended or hybrid model is the best option for the future. Convenience and decreased travel were cited as the main advantages of online classes. Physiotherapists cited in-person classes as being of higher teaching quality with improved safety and social interaction. Physiotherapists indicated that very little staff or technological resources were needed for their online classes and serious adverse events during the classes were extremely infrequent. CONCLUSION: Online group exercise programmes were well received by Physiotherapists, although the majority of those questioned believe a mixture of both online and in person exercise classes should be offered going forward.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42382841","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}