Physiotherapy Practice and Research最新文献_第3页

Validity and reliability of five-times-sit-to-stand test with a dual task in older adults with mild cognitive impairment 老年人轻度认知障碍五次坐立双任务测试的效度和信度

IF 0.2

Physiotherapy Practice and Research Pub Date : 2022-12-29 DOI: 10.3233/ppr-220697

Perayut Chimsuwan, Kanyakon Chanabangkaew, D. Aniwattanapong, Duangporn Suriyaamarit

{"title":"Validity and reliability of five-times-sit-to-stand test with a dual task in older adults with mild cognitive impairment","authors":"Perayut Chimsuwan, Kanyakon Chanabangkaew, D. Aniwattanapong, Duangporn Suriyaamarit","doi":"10.3233/ppr-220697","DOIUrl":"https://doi.org/10.3233/ppr-220697","url":null,"abstract":"INTRODUCTION: Although the five-times-sit-to-stand test (FTSST) is commonly used to analyse functional capacity, in older adults with mild cognitive impairment (MCI), many activities of daily living, such as walking while holding objects, require the simultaneous performance of motor and motor tasks. Hence, the FTSST with a secondary task has been introduced, though there is a lack of evidence on its validity and reliability. This study aimed to examine the concurrent validity and reliability of the FTSST with a dual task in older adults with MCI. METHODS: Twenty-eight older adults with MCI participated in the study. All participants performed the FTSST, FTSST with a dual task and Timed Up and Go (TUG) test. The concurrent validity of the FTSST with a dual task was established with the TUG. RESULTS: Moderate concurrent validity was found between the FTSST with a dual task and the TUG, with Pearson’s r = 0.59 (p < 0.001). The FTSST with a dual task exhibited good intra-rater (ICC 3,2 = 0.99) and inter-rater (ICC 2,2 = 0.99) reliability. The standard error of measurement and minimal detectable change of the intra- and inter-rater reliability of the FTSST with a dual task were 0.22 and 0.18, respectively. CONCLUSION: This study showed a significant correlation between the FTSST both with and without a dual task and the TUG as well as good inter- and intra-rater reliability when used in older adults with MCI. These findings support using these tests as outcome measures in older adults with MCI.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46420837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fidelity of a stratified vocational advice intervention for improving return to work for workers on sick leave due to musculoskeletal disorders 分层职业咨询干预的保真度，以改善因肌肉骨骼疾病而休病假的工人的复工率

IF 0.2

Physiotherapy Practice and Research Pub Date : 2022-12-24 DOI: 10.3233/ppr-220698

Rune Solli, Britt Eliniestad, Fiona Aanesen, G. Sowden, G. Wynne-Jones, M. Grotle

{"title":"Fidelity of a stratified vocational advice intervention for improving return to work for workers on sick leave due to musculoskeletal disorders","authors":"Rune Solli, Britt Eliniestad, Fiona Aanesen, G. Sowden, G. Wynne-Jones, M. Grotle","doi":"10.3233/ppr-220698","DOIUrl":"https://doi.org/10.3233/ppr-220698","url":null,"abstract":"PURPOSE: To develop a fidelity score for the Stratified Vocational Advice Intervention (SVAI), and to evaluate associations between level of fidelity to the SVAI and number of sick leave days and work ability at six months follow-up in workers on sick leave due to musculoskeletal disorders (MSDs). METHODS: The SVAI was provided by physiotherapists (PTs) who documented delivery in individual participant logs. A fidelity score was developed based on the number of follow-up sessions held, core questions documented, and a written action plan. Data were extracted from the logs and fidelity to the SVAI was categorised as “fully delivered\", “partially delivered, or “not delivered” based on predetermined criteria. The number of sick leave days was calculated from registry data, and work ability was assessed using a question from the Work Ability Index on current work ability compared with the lifetime best (0–10). RESULTS: 148 SVAI logs were available for fidelity evaluation (87%). The SVAI was fully delivered to 87 (56%) participants and partially delivered to 61 (39%) participants. There was no statistically significant association between level of fidelity and sick leave days (B = 5.8, 95% confidence interval (CI) –6.2, 17.7, p = 0.34) or lower work ability (B = –0.2, 95% CI –1.4, 1.1, p = 0.77). CONCLUSION: A three-category fidelity score was developed and the SVAI was generally delivered according to protocol. There were no statistically significant associations between level of fidelity and number of sick leave days or work ability in participants at six months follow-up.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41396206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of ‘the PUSH strategy’ to reduce contraversive pushing after stroke during inpatient rehabilitation “PUSH策略”在住院康复中减少卒中后的对抗性推压的应用

IF 0.2

Physiotherapy Practice and Research Pub Date : 2022-11-30 DOI: 10.3233/ppr-220668

J. Gillespie, Molly Trammell, C. Swank

{"title":"Application of ‘the PUSH strategy’ to reduce contraversive pushing after stroke during inpatient rehabilitation","authors":"J. Gillespie, Molly Trammell, C. Swank","doi":"10.3233/ppr-220668","DOIUrl":"https://doi.org/10.3233/ppr-220668","url":null,"abstract":"OBJECTIVE: Given the poor functional outcomes associated with contraversive pushing after stroke and lack of evidence guiding physical therapy interventions, the PUSH (Prioritizing Upright, Standing, and Higher-level stepping activities) Strategy was designed to address unmet needs. The aim of this paper is to describe the clinical application of the PUSH Strategy delivered during the physical therapy plan of care within inpatient rehabilitation. METHODS: The PUSH Strategy was applied during clinical practice in a large, urban inpatient rehabilitation hospital for patients demonstrating contraversive pushing after stroke with the goals to (1) reduce contraversive pushing, (2) contribute to facilitation of a community discharge, and (3) improve functional outcomes. Subsequently, outcomes [Burke Lateropulsion Scale (BLS), discharge disposition, and the Mobility and Walk portions of the Continuity Assessment and Record Evaluation (CARE) Tool] were collected at admission and discharge to assess patient progress. RESULTS: Between 2018 and 2020, 11 patients participated in the PUSH Strategy with 73% of patients achieving all three Strategy goals. On average, patients saw improvement in pushing [admit, 7.73 ± 3.3 (moderate pushing); discharge, 1.55 ± 2.4 (no pushing)] and function (admit mobility, 9.9 ± 4.4; discharge, 21.5 ± 5.3 and admit walking 8.1 ± 0.3, discharge 9.6 ± 2.7) during their inpatient rehabilitation stay. Nine were discharged to the community (82% ). CONCLUSIONS: The PUSH Strategy was successfully applied for patients with post-stroke contraversive pushing during inpatient rehabilitation. Overall, patients demonstrated reduced pushing and improved functional outcomes during their rehabilitation and most were discharged to a community setting.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45192772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Proprioception assessment in stroke rehabilitation: A survey of Australian physiotherapists and occupational therapists 脑卒中康复中的本体感觉评估:澳大利亚物理治疗师和职业治疗师的调查

IF 0.2

Physiotherapy Practice and Research Pub Date : 2022-11-25 DOI: 10.3233/ppr-210597

G. Fisher, C. Q. de Oliveira, A. Rochette, S. Gandevia, David S. Kennedy

{"title":"Proprioception assessment in stroke rehabilitation: A survey of Australian physiotherapists and occupational therapists","authors":"G. Fisher, C. Q. de Oliveira, A. Rochette, S. Gandevia, David S. Kennedy","doi":"10.3233/ppr-210597","DOIUrl":"https://doi.org/10.3233/ppr-210597","url":null,"abstract":"BACKGROUND: Proprioception is the awareness of the position, movement, and muscular force generated by the body and its musculoskeletal parts, and is an important somatosensory impairment to assess in people with stroke. We know that rehabilitation clinicians self-report to assess proprioception in approximately two-thirds of people with stroke. What we do not know is what type of assessments are used, or the true frequency of their use in clinical practice. This study aimed to provide a preliminary description of the type and frequency of proprioception assessment used by clinicians working in stroke rehabilitation in Australia, and their knowledge about proprioception impairment. METHODS: We surveyed Australian physiotherapists and occupational therapists who were involved in the rehabilitation of people with stroke. The online cross-sectional survey ran from March to October 2020. While they were blind to the aims of the study, respondents answered questions about clinical decision-making in a case study of a person with stroke and proprioception impairment. Then, they were asked questions about proprioception. RESULTS: There was a total of 165 survey responses, of which 58 contained complete datasets suitable for analysis. Only 55% (n = 32) of respondents selected an assessment of proprioception for the person described in the case study. The majority of respondents defined proprioception to be the sense of joint / limb (n = 38, 65.5%) or body (n = 27, 46.6%) position and used ‘eyeball’ judgements of limb matching accuracy (56%, n = 33) as an assessment. CONCLUSIONS: These preliminary data suggest that proprioception is likely under-assessed in stroke rehabilitation and that clinicians understand proprioception to be the sense of joint position and movement, but lack awareness of other proprioceptive senses, such as the sense of muscle force. These factors may reduce the ability of clinicians to rehabilitate proprioception impairment in people with stroke.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44574054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Musculoskeletal physiotherapists reasons for treatment selection and continuous professional development practices in the United Kingdom: A cross-sectional survey 英国肌肉骨骼理疗师选择治疗和持续专业发展实践的原因：一项横断面调查

IF 0.2

Physiotherapy Practice and Research Pub Date : 2022-11-25 DOI: 10.3233/ppr-210619

Paul Chesterton, N. Skidmore

{"title":"Musculoskeletal physiotherapists reasons for treatment selection and continuous professional development practices in the United Kingdom: A cross-sectional survey","authors":"Paul Chesterton, N. Skidmore","doi":"10.3233/ppr-210619","DOIUrl":"https://doi.org/10.3233/ppr-210619","url":null,"abstract":"PURPOSE: The aims of the study were two-fold 1) to explore the treatment modalities musculoskeletal physiotherapists are utilising and the underlying reasons why and 2) report current continuing professional development (CPD) practises and their perceived effectiveness. METHODS: Using a cross-sectional questionnaire, musculoskeletal physiotherapists in the UK were invited to complete an online survey. The survey captured respondents’ professional characteristics and their main reason for selecting a range of treatments sub-grouped into three broad categories; Manual Therapy, Treatment Modalities and Education Based Approaches. Respondents were asked to report their CPD practises and their perceived effectiveness. Data was converted into proportions with lower and upper limits of the 95% confidence interval (CI). Likert scale questions were treated as numeric variables with the mean and standard deviation (SD) calculated for combined responses. RESULTS: Of the 414 responders, 408 were eligible for analyses. The most common reason for treatment selection, based upon a combined total of 9792 responses across all treatment modalities, was content taught in ‘entry-level training’ (n = 2010, 20.5%, 85% CI 20 to 21), followed by ‘practice related courses or CPD events’ (n = 1241, 12.7%, 95% CI 12 to 13). ‘Self-reflection’ was the most common form of CPD (n = 404). All forms of CPD were considered ‘effective’ for developing knowledge and skills except ‘clinical audit’ and ‘journal clubs’ which were rated as ‘indifferent’ by respondents. CONCLUSIONS: Treatment technique depends heavily on skills taught in entry-level training. Despite research articles amongst the most utilised forms of CPD, a disconnect exists in its implementation as the main driver of treatment selection. A wide range of CPD activities were undertaken by participants and rated as ‘effective’ for acquiring and applying physiotherapy related skills.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48132683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Symptomatic hypermobility in children and young people: A scoping review of clinical characteristics using a developmental framework 儿童和年轻人的症状性行动过度：使用发育框架对临床特征的范围界定综述

IF 0.2

Physiotherapy Practice and Research Pub Date : 2022-11-03 DOI: 10.3233/ppr-220699

S. Ward, E. Macdermott, J. Simmonds, J. Deane, D. Mockler, S. Dockrell

{"title":"Symptomatic hypermobility in children and young people: A scoping review of clinical characteristics using a developmental framework","authors":"S. Ward, E. Macdermott, J. Simmonds, J. Deane, D. Mockler, S. Dockrell","doi":"10.3233/ppr-220699","DOIUrl":"https://doi.org/10.3233/ppr-220699","url":null,"abstract":"OBJECTIVE: To evaluate the literature on children and young people with symptomatic hypermobility using a developmental framework. METHODS: A search was conducted in EMBASE, Medline, CINAHL, Web of Science and grey literature. Full text articles reporting children and young people (birth to 24 years) with a confirmed diagnosis of symptomatic hypermobility, (including Hypermobility Spectrum Disorder or hypermobile Ehlers Danlos Syndrome) using internationally recognised criteria or equivalent diagnoses were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews methodology was followed. RESULTS: Of the 1619 studies screened, 163 were included in the scoping review. Studies were published from 1967-2021, 30% were narrative reviews and 24% were case reports, from a range of journals. Musculoskeletal and cutaneous characteristics were common in all developmental stages. Cardiovascular characteristics including autonomic dysfunction, fatigue, and gastrointestinal issues were reported more frequently by adolescents. Young adult studies were scarce and included mostly case reports. Varied diagnostic criteria and assessment methods were identified. The Beighton Score was frequently used (93%), but rarely standardised (12%) and lacked consensus regarding the cut-off point of hypermobility. CONCLUSIONS: This novel systematic scoping review identifies the changing phenotype of symptomatic hypermobility from childhood to adolescence, and the unique stage of young adulthood. There is a lack of guidance regarding the utilisation of standardised tools to assess hypermobility in clinical practice and research. Numerous and inconsistent diagnostic criteria and assessment methods limit the data analysis. Case control and longitudinal studies using defined, bespoke criteria and assessments are needed.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43340867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does a ten-week activate GAA warm-up intervention improve outcomes in adult male hurlers? 十周的GAA热身干预能改善成年男性投手的成绩吗？

IF 0.2

Physiotherapy Practice and Research Pub Date : 2022-11-03 DOI: 10.3233/ppr-220656

S. O’Connor, Conor Bruce, E. Whyte

{"title":"Does a ten-week activate GAA warm-up intervention improve outcomes in adult male hurlers?","authors":"S. O’Connor, Conor Bruce, E. Whyte","doi":"10.3233/ppr-220656","DOIUrl":"https://doi.org/10.3233/ppr-220656","url":null,"abstract":"BACKGROUND: Injuries are frequent in hurlers and injury prevention exercise programmes implemented during their warm-up could play a role in reducing injury risk. OBJECTIVES: To determine whether a ten-week Activate GAA warm-up intervention improves outcomes (landing mechanics, dynamic postural control, quality of movement and hamstring and adductor strength) in hurlers. METHODS: A non-randomized controlled trial was implemented in adult male non-elite hurlers (intervention n=58; control n=59) and players were eligible if they were uninjured and currently playing with a non-elite hurling team. The landing error scoring system (LESS), Y balance test, overhead squat, single leg squat, hamstring strength test and adductor break test were assessed by one Certified Athletic Therapist pre- and post-intervention. The intervention group completed the Activate GAA warm-up prior to all training and games. Two participants were unable to complete post-testing due to injury in the control group only. RESULTS: The ANCOVA analysis revealed that the intervention group’s landing mechanics (LESS total score: p<0.0001, ηp2=0.34), postural control (Y balance test composite score: p<0.0001, ηp2=0.23), and quality of movement (Overhead squat: p<0.0001, ηp2=0.21; single leg squat dominant: p=0.04, ηp2=0.0.04; single leg squat non-dominant: p<0.0001, ηp2=0.12) were significantly better than the control group. Adductor and hamstring strength were not significantly improved (p>0.05). CONCLUSIONS: These findings support the use of the Activate GAA warm-up in non-elite adult male hurlers with improvements observed in landing mechanics, dynamic postural control and quality of movement. Randomised controlled trials to examine its effect on injury incidence along with consideration of long-term compliance are required.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49549563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Influence of agility and core endurance on visual reaction time in amateur male badminton players 业余男子羽毛球运动员敏捷性和核心耐力对视觉反应时间的影响

IF 0.2

Physiotherapy Practice and Research Pub Date : 2022-10-26 DOI: 10.3233/ppr-210578

Chaitali Prabhu, Neha Kulkarni, T. Palekar

{"title":"Influence of agility and core endurance on visual reaction time in amateur male badminton players","authors":"Chaitali Prabhu, Neha Kulkarni, T. Palekar","doi":"10.3233/ppr-210578","DOIUrl":"https://doi.org/10.3233/ppr-210578","url":null,"abstract":"BACKGROUND: Badminton depends on key factors like reaction time, agility and core endurance to deliver a powerful and precise stroke. The purpose of this study is to explore the associations between agility and core endurance on visual reaction time among adult male amateur badminton players. MATERIALS AND METHODS: Amateur male badminton players between 12–25 years were recruited and assessed on visual reaction time, agility and core endurance using deary liewald reaction time software, T test and prone bridge test respectively. Pearson correlation test was used to analyze the data for correlation while Mann Whitney U test was used to find the difference, if any, between the adolescent and adult players in terms of reaction time, agility and core endurance. Data analysis was done using SPSS software version 23. RESULT: Ninety amateur male badminton players in the age group of 12–25 years were included in the study. Data analysis was done for adolescent players (n = 45 of 12–17 years) and young adult players (n = 45 of 17–25 years). A positive correlation was obtained between reaction time and agility in both adolescents’ and young adults and the entire population with r value 0.413, 0.082, and 0.244 respectively. A negative correlation was seen between reaction time and core endurance in adolescents, young adults and whole group with r value –0.283, –0.267, –0.272 respectively. CONCLUSION: Amateur badminton players who had good agility displayed faster reaction time while those having poor core endurance showed slower reaction time.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44008257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience-based functional gains in gait and stability with torso-weighting in people with multiple sclerosis: Randomized pilot study 多发性硬化症患者步态和躯干重量稳定性的基于经验的功能增益：随机试点研究

IF 0.2

Physiotherapy Practice and Research Pub Date : 2022-10-14 DOI: 10.3233/ppr-210620

D. Allen, Sophia Burchuladze, Gabrielle Grady, Matthew Lee, Lauren Mindel, G. Widener

{"title":"Experience-based functional gains in gait and stability with torso-weighting in people with multiple sclerosis: Randomized pilot study","authors":"D. Allen, Sophia Burchuladze, Gabrielle Grady, Matthew Lee, Lauren Mindel, G. Widener","doi":"10.3233/ppr-210620","DOIUrl":"https://doi.org/10.3233/ppr-210620","url":null,"abstract":"BACKGROUND: Balance-based torso-weighting has improved gait and balance performance in people with multiple sclerosis (MS) in a single session with torso-weights on, demonstrating an orthotic effect. Daily use of torso-weighting may promote motor learning and more enduring therapeutic effects but has not yet been studied. PURPOSE: Confirm orthotic effects and compare therapeutic effects of daily torso-weighting versus shape/sham-weighting or no weighting. We hypothesized that daily torso-weighting would result in positive effects on gait and balance, tested without weights. METHODS: Five participants with MS experienced three conditions for 2-4 weeks each: no weights first, then double-blinded randomization to torso-weighting or shape-weighting first then cross-over to the alternate condition. Personalized torso-weighting on a vest-like garment countered individual reactive balance responses following manual perturbations. Postural sway recorded orthotic effects with/without torso-weights while standing on a force plate with eyes open/closed. Clinical measures recorded therapeutic effects while unweighted: gait parameters, 6-Minute Walk Test (6MWT), and Sensory Organization Test (SOT). Weighting conditions were compared using paired t-tests with one-tailed alpha at 0.05. RESULTS: Postural sway decreased significantly with torso-weights. Cadence and step width improved significantly after torso-weighting versus shape-weight periods. Average gait parameters showed no improvement after shape-weight periods. Velocity, 6MWT, and SOT tended to improve with torso-weighting, averaging improvements of+15%,+16%, and+13.8%, respectively. CONCLUSIONS: Findings support both orthotic and therapeutic effects of torso-weighting. Daily use of torso-weights for multiple weeks may promote motor learning of gait parameters and balance. Further research is warranted to examine sensory augmentation as a potential mechanism.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41897014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge of falls risk factors in older adults among physiotherapy students in Malaysia 马来西亚物理治疗学生中老年人跌倒危险因素的知识

IF 0.2

Physiotherapy Practice and Research Pub Date : 2022-09-16 DOI: 10.3233/ppr-220624

Sarah Zulaikha, M. Justine, Angelbeth Joanny, Aslinda Che Mood, V. Mohan

{"title":"Knowledge of falls risk factors in older adults among physiotherapy students in Malaysia","authors":"Sarah Zulaikha, M. Justine, Angelbeth Joanny, Aslinda Che Mood, V. Mohan","doi":"10.3233/ppr-220624","DOIUrl":"https://doi.org/10.3233/ppr-220624","url":null,"abstract":"INTRODUCTION: Knowledge of the risk factors for falls is necessary for the prevention of falls in older adults. This study aimed to identify the levels of knowledge of the risk factors of falls among physiotherapy students in Malaysia. METHODS: A total of 239 physiotherapy students from seven institutions completed a two-section questionnaire about their sociodemographic information and knowledge regarding risk factors for falls (balance/gait disorders, muscle weakness, environmental hazards, postural hypotension, sensory/perceptive deceptive, multiple medications, impaired cognitive and foot/footwear problems) that were answered on a Likert scale ranging from “Not very important (1)” to “Very important (5)”. RESULTS: Analysis indicated that only two factors scored means of > 4, namely balance/gait disorders and muscle weakness, with 82.8% and 65.7% responded “very important”, respectively. The factors with the lowest means were postural hypotension (3.41±1.40) and multiple medications (2.97±1.21), in which the majority of the participants responded as “somewhat unimportant” or “moderately important. Students studying full-time and those with no working experience were significantly better than part-time students and those with working experience, respectively, in the level of knowledge of risk factors of falls (Both p < 0.05). CONCLUSION: This study suggests that physiotherapy students in Malaysia may have insufficient knowledge about the risk factors of falls as all factors should be deemed very important. The higher education providers should design a comprehensive curriculum considering all factors, especially postural hypotension and multiple medications.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41723106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0