Physiotherapy Practice and Research最新文献_第4页

An evaluation of physiotherapists’ knowledge regarding the clinical assessment of an acute ankle sprain and chronic ankle instability 理疗师对急性踝关节扭伤和慢性踝关节不稳定临床评估知识的评估

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Physiotherapy Practice and Research Pub Date : 2022-08-31 DOI: 10.3233/ppr-220638

L. Curran, Caileen Meehan, E. Delahunt

{"title":"An evaluation of physiotherapists’ knowledge regarding the clinical assessment of an acute ankle sprain and chronic ankle instability","authors":"L. Curran, Caileen Meehan, E. Delahunt","doi":"10.3233/ppr-220638","DOIUrl":"https://doi.org/10.3233/ppr-220638","url":null,"abstract":"INTRODUCTION: Previous research has shown that 40% of people who suffer an ankle sprain will develop chronic ankle instability (CAI). Both mechanical insufficiencies and functional insufficiencies contribute to the development of CAI. In order to reduce the incidence of CAI and to provide the highest standard of care to patients, physiotherapists must be able to identify these insufficiencies in order to develop an appropriate treatment pathway. METHODS: We designed an online survey which the Irish Society of Chartered Physiotherapists sent to members within particular subgroups. The survey allowed us to determine the competencies of Chartered Physiotherapists in conducting a comprehensive clinical ankle assessment, their knowledge of CAI and their self-rated confidence in treating and assessing an ankle injury. RESULTS: From the emails distributed, 263 people chose to take part. Of those, 87 people completed the survey, yielding a response rate of 33% . Of the 87 respondents, 49% could not identify any mechanical impairments, and 40% could only identify one. 47% could not identify any functional impairments, 21% identified one and 25% identified two. 62% of participants did not include ankle joints arthrokinematics in their clinical assessments of ankle injury, and 60% did not include patient reported outcome measures. Therefore the majority of Irish physiotherapist’s are not meeting the minimally accepted standards of ankle injury assessments. Despite this, 86% of participants rated themselves as 6/10 or greater in their own clinical assessment proficiency. CONCLUSION: Our results highlight that Irish physiotherapist have a limited understanding of the mechanical and functional insufficiencies contributing to the development of CAI.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48527333","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

Proprioceptive neuromuscular facilitation in chronic low back and neck pain and disability: A systematic review and meta-analysis 慢性下腰痛和残疾患者的本体感觉神经肌肉促进作用：系统综述和荟萃分析

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Physiotherapy Practice and Research Pub Date : 2022-08-20 DOI: 10.3233/ppr-210572

Vaishnavi Suresh, S. Karthikbabu, prem venkatesan

{"title":"Proprioceptive neuromuscular facilitation in chronic low back and neck pain and disability: A systematic review and meta-analysis","authors":"Vaishnavi Suresh, S. Karthikbabu, prem venkatesan","doi":"10.3233/ppr-210572","DOIUrl":"https://doi.org/10.3233/ppr-210572","url":null,"abstract":"BACKGROUND: Proprioceptive neuromuscular facilitation (PNF) is one of the neurophysiological techniques aimed at reducing pain and disability. This systematic review objective addresses the current evidence on PNF techniques’ effectiveness in chronic low back and neck pain. METHODS: Literature search in PubMed, Scopus, Cochrane, Wiley and Ovid databases were searched until 2021. The content of the titles and the abstracts were analysed to gather information about the effects of PNF in chronic back and neck pain with outcomes of pain and disability. The quality of the studies was analysed by the Joanna Briggs Institute (JBI) critical appraisal score. Meta-analysis was performed on Visual Analogue Scale (VAS), Numerical Rating Scale (NRS) for chronic low back pain and Oswestry Disability Index (ODI), Roland Morris Disability Questionnaire (RMDQ) for disability. RESULTS: Nine studies addressed the different PNF based interventions on chronic low back pain, with a total of 416 participants. The intervention period ranged 3–6 weeks, and two studies conducted 12-weeks follow-up. Many studies measured pain using a VAS and NRS, whereas the disability through ODI and RMDQ. The JBI score ranged from 6/13 to 11/13. None of the PNF studies treated chronic neck pain. CONCLUSION: PNF might be beneficial for reducing low back pain and related disability. The long term effects of PNF on chronic low back pain, and also to determine its benefits on chronic neck pain are warranted in future studies.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47368025","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: 1

Continuing professional development of Jordanian physiotherapists: A survey of activities, facilitators and barriers 约旦物理治疗师的持续专业发展:活动、促进因素和障碍的调查

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Physiotherapy Practice and Research Pub Date : 2022-08-17 DOI: 10.3233/ppr-220653

M. Madi, H. Hamzeh

{"title":"Continuing professional development of Jordanian physiotherapists: A survey of activities, facilitators and barriers","authors":"M. Madi, H. Hamzeh","doi":"10.3233/ppr-220653","DOIUrl":"https://doi.org/10.3233/ppr-220653","url":null,"abstract":"BACKGROUND: Engagement in continuing professional development (CPD) has recently become a mandatory requirement for practice in Jordan. This was part of the Jordanian government strategy to advance healthcare. AIMS The study aimed to draw the landscape of CPD for Jordanian physiotherapists. The activities, attitudes, and workplace environment related to CPD were explored. METHODS: A quantitative web-based survey was used to collect data. The survey was open for potential participants for three months from 29/01/2020. Only physiotherapists practicing in Jordan; and involved in direct patient care were invited to take part. Descriptive analysis was performed. RESULTS: Eighty-six Physiotherapists representing multiple cities in Jordan completed the survey. The percentage of female participants was 52.3% . Most participants were general physiotherapists (N = 42). Around 13% held a post graduate qualification. Most participants fulfilled the required number of CPD hours. The main driver for engagement in CPD was advancing knowledge (N = 47, 55%), followed by improving patients’ care (N = 22, 26%), and maximising opportunities for employment or promotion. Participants engaged with local workshops, reading articles in medical journals, and attending theoretical lectures in the workplace. The main barriers to engage with CPD were the high financial burden (N = 65, 76%), inability to travel (N = 40, 47%), and time limitations (N = 33, 38%). CONCLUSION: This study is the first to provide evidence of the activities, motivators, and barriers to CPD in a sample of Jordanian physiotherapists. Findings are important in informing healthcare policymaking. It offers directions to maximise the impact of CPD.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43046203","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

Minimum standards of clinical practice for physiotherapists working in critical care units in Ireland: a modified Delphi technique 爱尔兰重症监护室物理治疗师临床实践的最低标准：一种改进的德尔菲技术

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Physiotherapy Practice and Research Pub Date : 2022-08-16 DOI: 10.3233/ppr-210623

Niamh O’Malley, B. O'Neill

{"title":"Minimum standards of clinical practice for physiotherapists working in critical care units in Ireland: a modified Delphi technique","authors":"Niamh O’Malley, B. O'Neill","doi":"10.3233/ppr-210623","DOIUrl":"https://doi.org/10.3233/ppr-210623","url":null,"abstract":"INTRODUCTION: Physiotherapists in Irish hospitals with critical care units deliver physiotherapy services 24 hours a day, seven days a week. There is a perceived lack of consistency in the level of clinical competence, required skills and content of training between hospitals, compounded by the absence of a national policy, procedure or clinical framework for physiotherapists working in critical care. The study aimed to identify the minimum standards of clinical practice expected of physiotherapists working in critical care settings in Ireland. METHODS: A modified Delphi technique was used to survey a panel of senior and clinical specialist physiotherapists working in critical care units in Ireland to obtain consensus of items. The questionnaire of 214 items was completed over three rounds. Items were determined ‘Essential/Not Essential/Unsure’ by participants. Items that did not reach consensus were included in the subsequent round with additional items suggested by participants. RESULTS: 25/46(54%) physiotherapists completed the first round, with 17 and 13 completing round 2 and round 3 respectively. A total of 220 items were included, 120 of which were deemed essential for a minimum standards of independent clinical practice in Irish critical care units. Fifty-six items were considered not essential while consensus was not reached on 44 items. CONCLUSIONS: This study identified 120 items of knowledge and clinical skills considered essential as a minimum standard by physiotherapists working in Irish critical care units. Further discussion is required to determine how these results can be applied to guide clinical practice for physiotherapists working in critical care in Ireland.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42667999","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

Management of benign paroxysmal positional vertigo (BPPV) post head injury: Case Study from the emergency department 头部损伤后良性阵发性位置性眩晕（BPPV）的处理：急诊科病例研究

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Physiotherapy Practice and Research Pub Date : 2022-07-12 DOI: 10.3233/ppr-210592

Louise Martin, M. Lyons

引用次数: 0

Neurodynamic test of peroneal nerve: Study of the sensory response in patients with lumbar radiculopathy 腓神经动力学试验:腰神经根病患者感觉反应的研究

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Physiotherapy Practice and Research Pub Date : 2022-07-07 DOI: 10.3233/ppr-220659

Darshana Fursule, Sanket S. Mungikar, Kapil Garg, S. Wani, S. Joseph

{"title":"Neurodynamic test of peroneal nerve: Study of the sensory response in patients with lumbar radiculopathy","authors":"Darshana Fursule, Sanket S. Mungikar, Kapil Garg, S. Wani, S. Joseph","doi":"10.3233/ppr-220659","DOIUrl":"https://doi.org/10.3233/ppr-220659","url":null,"abstract":"BACKGROUND: Neurodynamic tests (NDT) have shown to be useful in evaluating neural tissue involvement. Clinicians evaluate NDT using range of motion, sensory responses like location or quality of symptoms, Nerve conduction values and compare its results with normal values. Currently, there are no studies in lumbar radiculopathy patients that define the normal response to peroneal neurodynamic test (NDTPER) PURPOSE: To study the sensory responses to neurodynamic testing of peroneal nerve in patients with lumbar radiculopathy. DESIGN: A cross sectional study design. METHODS: NDTPER was performed on 57 patients with lumbar radiculopathy. Hip flexion angle was taken at the onset of symptoms (P1) and point of maximally tolerated symptoms (P2), quality and distribution of symptoms were recorded. Sensory nerve conduction velocity measure (SNCV) was also noted in those patients. MAIN RESULTS: The descriptor of nature of sensory responses most often used by patients was tingling (28.07%) in the lateral foot (26.32% ). Hip flexion was significantly higher at P2 than P1 (mean difference: 22.54±3.73°; 95% CI: 21.55°, 23.54°; p < 0.0001). The SNCV of affected limb was marginally reduced but not statistically significant compared to contralateral limb (mean difference: –1.467±0.8013; 95% CI: –3.054, 0.1209; p = 0.0698). CONCLUSION: This study describes the hip angle at which symptoms are reproduced, nature and distribution of sensory responses to the NDTPER in patients with lumbar radiculopathy. However, the sensory nerve conduction velocity of affected limb was reduced marginally but not statistically significant as compared to unaffected limb.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70157053","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

Prehabilitation and education in major abdominal and thoracic surgery reduces length of stay and ventilation days 腹胸外科大手术的康复和教育可减少住院时间和通气天数

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Physiotherapy Practice and Research Pub Date : 2022-07-07 DOI: 10.3233/ppr-210611

Anwar Hassan, Shelley Boyle, William Lai, Kirti Barve, Katherine Scanlon, A. Shakeshaft, R. Cox

{"title":"Prehabilitation and education in major abdominal and thoracic surgery reduces length of stay and ventilation days","authors":"Anwar Hassan, Shelley Boyle, William Lai, Kirti Barve, Katherine Scanlon, A. Shakeshaft, R. Cox","doi":"10.3233/ppr-210611","DOIUrl":"https://doi.org/10.3233/ppr-210611","url":null,"abstract":"INTRODUCTION: Poor cardiopulmonary fitness is associated with an increased risk of morbidity and mortality following major surgery. Targeted prehabilitation interventions with adequate intensity improve cardiopulmonary function. Several systematic reviews have noted the variation in outcomes for prehabilitation, providing poor evidence due to inadequate patient numbers and poor compliance. Our aim was to assess the outcomes of the Preoperative Education and Prehabilitation Program (PrEPP) for patients undergoing major abdominal or thoracic surgery. METHODS: PrEPP is a supervised education and exercise training program twice a week and an at-home exercise program three times a week for up to four weeks. A comparison of outcomes was made using the data collected on each patient in PrEPP with a historical control group. RESULTS: There were 370 patients, 185 in each group. They were matched for age (+/- 10 years), gender, and surgery type. There were significant reductions in prolonged ventilation (>48 hours) from 5.4% to 1.1% (p = 0.03) and mean length of stay (LOS) from 10.2 days to 8.5 days (p = 0.04) in the PrEPP group. The incidence of superficial surgical site infection was also found to be less in the PrEPP group (p = 0.02). There were no significant differences in the incidence of pneumonia (3.8% to 2.7% ), unplanned re-intubation (3.8% to 1.6% ), readmission rate (12.4% to 9.7% ), cardiac events or other post-surgical infections. CONCLUSION: The PrEPP was associated with reduced ventilation days and LOS. Further studies are required to confirm these results.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44649417","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

Telehealth in physiotherapy during the COVID-19 pandemic, the perspective of the service users: A cross-sectional survey 新冠肺炎大流行期间物理治疗的远程健康，服务用户的观点：一项横断面调查

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Physiotherapy Practice and Research Pub Date : 2022-07-06 DOI: 10.3233/ppr-220646

A. Reynolds, Neasa Sheehy, Nasir Awan, P. Gallagher

{"title":"Telehealth in physiotherapy during the COVID-19 pandemic, the perspective of the service users: A cross-sectional survey","authors":"A. Reynolds, Neasa Sheehy, Nasir Awan, P. Gallagher","doi":"10.3233/ppr-220646","DOIUrl":"https://doi.org/10.3233/ppr-220646","url":null,"abstract":"OBJECTIVE: The satisfaction and acceptance of telehealth by the Irish physiotherapy service user is currently unclear. This study aims to evaluate the Irish service users’ experience of physiotherapy delivered totally or partially via telehealth, using a cross-sectional self-reported anonymous postal survey. METHODS: Service users (n = 250) of the Cavan Monaghan physiotherapy department, Health Service Executive (HSE), Republic of Ireland were surveyed. Data was collected on demographics, experience with technology, experience and satisfaction with physiotherapy delivered via telehealth. Qualitative thematic analysis of the free-text responses was completed. RESULTS: A response rate of 40% was achieved. Participants attended physiotherapy for an average of 2.65 months. Upper limb complaints comprised 29% of participants, 27% had a back complaint, 21% had a lower limb complaint and 14% attended for a women’s health issue. Those who received their physiotherapy consultation over the phone comprised 78%, while 15% received it virtually and 85% were highly or somewhat satisfied with the telehealth physiotherapy they received. However, 49% prefer blended care (combination of telehealth and face-to-face), 41% prefer face-to-face consultations only and 10% are satisfied with telehealth solely. The recipients of virtual calls were all satisfied. In the future, 60% of these participants would prefer blended care, 20% would prefer face-to-face care only and 20% would be satisfied with telehealth solely. CONCLUSION: The physiotherapy telehealth services were well received. There was a greater acceptance of future telehealth usage by video call recipients compared to those who received a phone call only. Engagement with appropriate service users and their needs will be required to ensure the longevity and success of telehealth.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46830081","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: 1

Clinical practice pattern of managing low back pain among physiotherapists in Bangladesh: A cross-sectional study 孟加拉国物理治疗师治疗腰痛的临床实践模式：一项横断面研究

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Physiotherapy Practice and Research Pub Date : 2022-06-30 DOI: 10.3233/ppr-210549

Mohammad Ali, Z. Uddin, A. Hossain

{"title":"Clinical practice pattern of managing low back pain among physiotherapists in Bangladesh: A cross-sectional study","authors":"Mohammad Ali, Z. Uddin, A. Hossain","doi":"10.3233/ppr-210549","DOIUrl":"https://doi.org/10.3233/ppr-210549","url":null,"abstract":"INTRODUCTION: Low back pain (LBP) is the top global cause of disability, and physiotherapy interventions are used to manage it. However, understanding of the practice pattern of physiotherapists dealing with LBP patients in low- and middle-income countries (LMICs) is limited. This study aimed to explore the LBP practice pattern of LMIC’s (i. e., Bangladesh) physiotherapists by their demographic and professional factors. METHODS: This cross-sectional study sent a survey to randomly selected physiotherapists via email. RESULTS: Data of 423 illegible physiotherapist were analyzed. The majority of the physiotherapists (54.8%) were nongovernment service holders, and 87.7% worked in an urban setting. Recommended interventions were frequently used by only 12.3%, occasionally used by 66.2%, and 21.5% did not offer those interventions. Partially recommended interventions were frequently used by 33.3%, occasionally used by 43.7%, and never used by 23% of physiotherapists. For not recommended interventions, 69.3% occasionally, 13.5% frequently, and 17.3% never used such interventions. CONCLUSION: The study explored the practice pattern of physiotherapists of an LMIC by comparing available evidence-based practice guidelines for LBP. The findings of this study may provide an LMIC database to inform future research, clinical practice and education to ensure adherence to evidence-based LBP physiotherapy management.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46913107","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: 3

Pathfinder: The benefits of using alternative care pathways for older adults who dial 999/112 探路者:为拨打999/112的老年人使用替代护理途径的好处

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Physiotherapy Practice and Research Pub Date : 2022-06-01 DOI: 10.3233/ppr-220663

P. Ward, C. O’Brien, L. Hogan, W. Howard, R. Mooney, P. Bernard, G. Corcoran

引用次数: 0